N4 Connect Summaries

Withdrawals

	Overall (N=7)
Participation has concluded in the study due to:
declined to participate	1 (14.3%)
moved out of area	0 (0%)
deceased	2 (28.6%)
withdrawn due to incarceration	0 (0%)
withdrawn due to previous enrollment	0 (0%)
withdrawn for other reason	4 (57.1%)

• n=7 withdrawals from study
  
• n=261 enrolled participants remaining after withdrawals
  
• withdrawn participants are not included in summaries of baseline and follow-ups

Screen 1

	Overall (N=571)
Filled out online contact form?
No	237 (41.5%)
Yes	333 (58.3%)
Missing	1 (0.2%)
How did you hear about us?
Called from newspaper advertisement	2 (0.4%)
Called from social media advertisement	21 (3.7%)
Dating apps (Grindr, Jack'd, etc.)	132 (23.1%)
Dating apps, spoke to Niko (Grindr, Jack'd, etc.)	4 (0.7%)
Direct recruitment by staff in a NJ setting, not NJCRI	2 (0.4%)
Direct recruitment by staff in a NYC setting	13 (2.3%)
Don't Know/ Don't Remember	13 (2.3%)
NJCRI	16 (2.8%)
NYC-Subway advertisements	5 (0.9%)
Other	24 (4.2%)
Peer recruitment	290 (50.8%)
Saw flyer	14 (2.5%)
Saw post in Craigslist	34 (6.0%)
Missing	1 (0.2%)
If called from social media advertisement, which social media platform?
Don't Know/ Don't Remember	2 (0.4%)
Facebook	16 (2.8%)
Instagram	2 (0.4%)
Reddit	1 (0.2%)
Missing	550 (96.3%)
Do you voluntarily agree to participate in this brief research interview?
Yes	569 (99.6%)
Missing	2 (0.4%)
Age at Screener 1
Mean (SD)	27.1 (5.28)
Median [Min, Max]	27.0 [17.0, 61.0]
Missing	1 (0.2%)
Do you live in the New York City or Newark metropolitan area?
No	3 (0.5%)
Yes	565 (98.9%)
Missing	3 (0.5%)
Are you able to conduct research study activities in English or Spanish?
Yes	568 (99.5%)
Missing	3 (0.5%)
What are your personal gender pronouns?
He/him	400 (70.1%)
Other	8 (1.4%)
Prefer not to Answer	5 (0.9%)
She/her	112 (19.6%)
They/them	41 (7.2%)
Missing	5 (0.9%)
What was your assigned sex at birth?
Female	26 (4.6%)
Intersex	5 (0.9%)
Male	531 (93.0%)
None of these describe me, other	1 (0.2%)
Prefer not to answer	3 (0.5%)
Missing	5 (0.9%)
If you are found eligible for the N4 Connect Study, are you willing to follow NYU's COVID guidelines?
No	4 (0.7%)
Yes	562 (98.4%)
Missing	5 (0.9%)
Have you been diagnosed as living with HIV?
No	7 (1.2%)
Yes	559 (97.9%)
Missing	5 (0.9%)
Screener 1 Completion
Complete	570 (99.8%)
Incomplete	1 (0.2%)
Screener 1 Eligibility
ELIGIBLE	405 (70.9%)
INELIGIBLE	166 (29.1%)

Gender Identity

	Overall (N=566)
Gender Identity
Gender Non-binary	51 (9.0%)
Genderfluid	5 (0.9%)
Genderqueer	9 (1.6%)
Man, male	382 (67.5%)
None of these describe me, other	3 (0.5%)
Prefer not to answer	5 (0.9%)
Questioning, or unsure of your gender identity	1 (0.2%)
Transfemale/ Transgender Woman	35 (6.2%)
Transgender	22 (3.9%)
Transman/ Transgender Man	4 (0.7%)
Woman, female	36 (6.4%)
More Than One Identity	13 (2.3%)

Sexual Orientation

	Overall (N=566)
Sexual Orientation
Bisexual	90 (15.9%)
Do not use labels to identify yourself	2 (0.4%)
Gay	340 (60.1%)
Have not figured out or are in the process of figuring out your sexuality	1 (0.2%)
Lesbian	5 (0.9%)
Other	6 (1.1%)
Pansexual	37 (6.5%)
Prefer not to answer	12 (2.1%)
Queer	5 (0.9%)
Straight or heterosexual	64 (11.3%)
Two-spirit	1 (0.2%)
More Than One Orientation	3 (0.5%)

Race/Ethnicity

	Overall (N=571)
Do you consider yourself Hispanic or Latino/a/x?
Don't Know	2 (0.4%)
No	277 (48.5%)
Yes	287 (50.3%)
Missing	5 (0.9%)
Black or African American
Checked	345 (60.4%)
Unchecked	226 (39.6%)
American Indian or Alaskan Native
Checked	30 (5.3%)
Unchecked	541 (94.7%)
Asian
Checked	5 (0.9%)
Unchecked	566 (99.1%)
White
Checked	59 (10.3%)
Unchecked	512 (89.7%)
Native Hawaiian or Other Pacific Islander
Checked	2 (0.4%)
Unchecked	569 (99.6%)
Biracial or Multiracial
Checked	79 (13.8%)
Unchecked	492 (86.2%)
Other
Checked	112 (19.6%)
Unchecked	459 (80.4%)
Refuse to Answer
Checked	18 (3.2%)
Unchecked	553 (96.8%)

PHS Categories

	Ethnic Categories			Total
	Not Hispanic or Latino	Hispanic or Latino	Unknown/Not Reported Ethnicity
PHS Race Category
American Indian/Alaska Native	2	12	0	14
Asian	2	1	0	3
Native Hawaiian or Other Pacific Islander	0	0	0	0
Black or African American	243	58	2	303
White	5	39	0	44
More than One Race	23	70	0	93
Unknown or Not Reported	2	107	5	114
Total	277	287	7	571

PHS Category	Ethnicity	Assigned Sex at Birth	Frequency
Black or African American	Not Hispanic or Latino	Female	14
American Indian/Alaska Native	Hispanic or Latino	Female	1
Black or African American	Hispanic or Latino	Female	5
White	Hispanic or Latino	Female	1
More than One Race	Hispanic or Latino	Female	1
Unknown or Not Reported	Hispanic or Latino	Female	4
Black or African American	Not Hispanic or Latino	Intersex	4
More than One Race	Hispanic or Latino	Intersex	1
American Indian/Alaska Native	Not Hispanic or Latino	Male	2
Asian	Not Hispanic or Latino	Male	2
Black or African American	Not Hispanic or Latino	Male	224
White	Not Hispanic or Latino	Male	5
More than One Race	Not Hispanic or Latino	Male	23
Unknown or Not Reported	Not Hispanic or Latino	Male	2
American Indian/Alaska Native	Hispanic or Latino	Male	11
Black or African American	Hispanic or Latino	Male	53
White	Hispanic or Latino	Male	38
More than One Race	Hispanic or Latino	Male	68
Unknown or Not Reported	Hispanic or Latino	Male	101
Black or African American	Unknown/Not Reported Ethnicity	Male	2
Unknown or Not Reported	Hispanic or Latino	None of these describe me, other	1
Black or African American	Not Hispanic or Latino	Prefer not to answer	1
Asian	Hispanic or Latino	Prefer not to answer	1
Unknown or Not Reported	Hispanic or Latino	Prefer not to answer	1

Screen 2

	Overall (N=291)
Enter the documentation of HIV status provided
Full Medical Record with diagnosis and name	6 (2.1%)
HIV diagnosis letter on letterhead from testing site (NOT anonymous testing site)	1 (0.3%)
HIV Lab Results provided by participant	164 (56.4%)
HIV Lab testing conducted by the N4 Connect Study	28 (9.6%)
HIV meds or Prescription w/ participant's name	83 (28.5%)
M11Q Form	1 (0.3%)
Other	8 (2.7%)
Obtained copy/ photo of provided documentation?
No	10 (3.4%)
Yes	195 (67.0%)
Missing	86 (29.6%)
Are you willing to use your own phone or a phone provided by the project for text message interviews?
Yes, willing to use own phone	221 (75.9%)
Yes, willing to use project phone	70 (24.1%)
Is the participant preliminarily eligible?
Eligible	284 (97.6%)
Not eligible	5 (1.7%)
Missing	2 (0.7%)
Screener 2 Completion
Complete	287 (98.6%)
Incomplete	2 (0.7%)
Unverified	2 (0.7%)

Opt Out

	Overall (N=67)
Participation has concluded/opted-out of participation due to:
Declined to participate	15 (22.4%)
Moved out of the area	1 (1.5%)
Unable to contact/ no contact information available	24 (35.8%)
Withdrawn due to previous enrollment	1 (1.5%)
Withdrawn for other reason	26 (38.8%)

Enrollment

Total

Cumulative Enrolled	Cumulative Target	Current Deficit
267	270	3

By Viral Load

Viral Load	Cumulative Enrolled
Detectable	49
Undetectable (< 200 copies/mL)	218

Baseline Interview

Demographics (Baseline Sample)

Age, Sex at Birth, and Race/Ethnicity

	Overall (N=260)
Age at Screener 1
Mean (SD)	25.2 (2.37)
Median [Min, Max]	26.0 [19.0, 28.0]
What was your assigned sex at birth?
Female	9 (3.5%)
Intersex	1 (0.4%)
Male	249 (95.8%)
Prefer not to answer	1 (0.4%)
Do you consider yourself Hispanic or Latino/a/x?
Don't Know	2 (0.8%)
No	106 (40.8%)
Yes	152 (58.5%)
Black or African American
Checked	142 (54.6%)
Unchecked	118 (45.4%)
American Indian or Alaskan Native
Checked	12 (4.6%)
Unchecked	248 (95.4%)
Asian
Unchecked	260 (100%)
White
Checked	32 (12.3%)
Unchecked	228 (87.7%)
Native Hawaiian or Other Pacific Islander
Checked	1 (0.4%)
Unchecked	259 (99.6%)
Biracial or Multiracial
Checked	45 (17.3%)
Unchecked	215 (82.7%)
Other
Checked	59 (22.7%)
Unchecked	201 (77.3%)
Refuse to Answer
Checked	11 (4.2%)
Unchecked	249 (95.8%)

PHS Categories

	Ethnic Categories			Total
	Not Hispanic or Latino	Hispanic or Latino	Unknown/Not Reported Ethnicity
PHS Race Category
American Indian/Alaska Native	0	5	0	5
Asian	0	0	0	0
Native Hawaiian or Other Pacific Islander	0	0	0	0
Black or African American	92	24	2	118
White	0	25	0	25
More than One Race	14	41	0	55
Unknown or Not Reported	0	57	0	57
Total	106	152	2	260

PHS Category	Ethnicity	Assigned Sex at Birth	Frequency
Black or African American	Not Hispanic or Latino	Female	3
Black or African American	Hispanic or Latino	Female	4
White	Hispanic or Latino	Female	1
More than One Race	Hispanic or Latino	Female	1
Black or African American	Not Hispanic or Latino	Intersex	1
Black or African American	Not Hispanic or Latino	Male	88
More than One Race	Not Hispanic or Latino	Male	14
American Indian/Alaska Native	Hispanic or Latino	Male	5
Black or African American	Hispanic or Latino	Male	20
White	Hispanic or Latino	Male	24
More than One Race	Hispanic or Latino	Male	40
Unknown or Not Reported	Hispanic or Latino	Male	56
Black or African American	Unknown/Not Reported Ethnicity	Male	2
Unknown or Not Reported	Hispanic or Latino	Prefer not to answer	1

Gender Identity

	Overall (N=260)
Gender Identity
Gender Non-binary	31 (11.9%)
Genderfluid	5 (1.9%)
Genderqueer	5 (1.9%)
Man, male	166 (63.8%)
None of these describe me, other	2 (0.8%)
Prefer not to answer	1 (0.4%)
Questioning, or unsure of your gender identity	1 (0.4%)
Transfemale/ Transgender Woman	16 (6.2%)
Transgender	9 (3.5%)
Transman/ Transgender Man	1 (0.4%)
Woman, female	15 (5.8%)
More Than One Identity	8 (3.1%)

Sexual Identity

	Overall (N=260)
Sexual Orientation
Bisexual	35 (13.5%)
Do not use labels to identify yourself	2 (0.8%)
Gay	162 (62.3%)
Have not figured out or are in the process of figuring out your sexuality	0 (0%)
Lesbian	1 (0.4%)
Other	3 (1.2%)
Pansexual	24 (9.2%)
Prefer not to answer	7 (2.7%)
Queer	5 (1.9%)
Straight or heterosexual	17 (6.5%)
Two-spirit	1 (0.4%)
More Than One Orientation	3 (1.2%)

Sexual or Gender Minority

	Gender Minority		Total
	No	Yes
Sexual Orientation Minority
No	11 (4.2%)	6 (2.3%)	17 (6.5%)
Yes	163 (63%)	80 (31%)	243 (93%)
Total	174 (67%)	86 (33%)	260 (100%)

Other Demographics

	Overall (N=261)
Where were you born?
USA - mainland, Hawaii, Alaska	132 (50.6%)
Puerto Rico	2 (0.8%)
Other North America, including Mexico	6 (2.3%)
Central America	37 (14.2%)
Caribbean	29 (11.1%)
South America	50 (19.2%)
Europe, including Eastern Russia	2 (0.8%)
Asia, Australia	0 (0%)
Africa	1 (0.4%)
Other	2 (0.8%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Not Applicable	0 (0%)
What is your immigration status?
US citizen	141 (54.0%)
Permanent resident/ Green card	10 (3.8%)
Valid tourist visa/ Work visa or permit/ student visa	2 (0.8%)
Refugee status, asylum, temporary protected immigrant status	90 (34.5%)
Undocumented	17 (6.5%)
Other	0 (0%)
Do not Know	0 (0%)
Refuse to Answer	1 (0.4%)
Not Applicable	0 (0%)
Where are you currently living or staying most of the time? (Read each)
Your own house or apartment	115 (44.1%)
Your own room in your parent(s) or another family members house or apartment	22 (8.4%)
A shared room or couch in your parent(s) or another family members house or at someone elses house or apartment	16 (6.1%)
In a shelter, single-room occupancy hotel or some other residential facility (halfway house, drug treatment)	100 (38.3%)
On the street (vacant lot, abandoned building, part, etc.)	0 (0%)
Some other place not intended for habitation (e.g. car)	3 (1.1%)
Other	5 (1.9%)
Refuse to Answer	0 (0%)
What is the highest level of education that you have completed?
8th grade or less	11 (4.2%)
Middle school graduate (completed 8th grade)	4 (1.5%)
Some high school (9th to 12th grade)	28 (10.7%)
High school graduate or GED	105 (40.2%)
Some vocational/trade/technical school	16 (6.1%)
Some college or Associates degree	67 (25.7%)
Bachelors Degree	27 (10.3%)
Masters or other advanced degree	3 (1.1%)
Refuse to Answer	0 (0%)
Are you currently attending school or an academic program? Or if it's a summer or winter break, did you attend last semester?
No	212 (81.2%)
Yes	49 (18.8%)
Refuse to Answer	0 (0%)
What is your current employment status?(Read each)
Working full-time	34 (13.0%)
Working part-time (including seasonal/work-study, etc.)	54 (20.7%)
Not working, but actively looking for work	139 (53.3%)
Not working, not actively looking for work	19 (7.3%)
Working off the books (for example, recycling cans/bottles, selling drugs or sex, panhandling)	10 (3.8%)
Other	4 (1.5%)
Refuse to Answer	1 (0.4%)
Do you currently have health insurance or health care coverage?
No health insurance	20 (7.7%)
Yes, I have my own health insurance	221 (84.7%)
Yes, I am covered by my parent/ guardian	16 (6.1%)
Yes, I am covered by my husband/ wife/ spouse/ domestic partner	0 (0%)
Other	0 (0%)
Do not Know	4 (1.5%)
Refuse to Answer	0 (0%)

Multigroup Ethnic Identity

Phinney, J. S., & Ong, A. D. (2007). Conceptualization and measurement of ethnic identity: Current status and future directions.Journal of Counseling Psychology, 54(3), 271–281. https://doi.org/10.1037/0022-0167.54.3.271

	Overall (N=260)
I have spent time trying to find out more about my racial/ethnic group(s), such as history, traditions, and customs.
Strongly Disagree	13 (5.0%)
Disagree	30 (11.5%)
Neutral	78 (30.0%)
Agree	79 (30.4%)
Strongly Agree	60 (23.1%)
Refuse to Answer	0 (0%)
I have a strong sense of belonging to my own racial/ethnic group(s).
Strongly Disagree	9 (3.5%)
Disagree	36 (13.8%)
Neutral	69 (26.5%)
Agree	89 (34.2%)
Strongly Agree	56 (21.5%)
Refuse to Answer	1 (0.4%)
I understand pretty well what my racial/ethnic group membership means to me.
Strongly Disagree	3 (1.2%)
Disagree	16 (6.2%)
Neutral	60 (23.1%)
Agree	114 (43.8%)
Strongly Agree	65 (25.0%)
Refuse to Answer	2 (0.8%)
I have often done things that will help me understand my racial/ethnic background better.
Strongly Disagree	6 (2.3%)
Disagree	19 (7.3%)
Neutral	52 (20.0%)
Agree	114 (43.8%)
Strongly Agree	66 (25.4%)
Refuse to Answer	3 (1.2%)
I have often talked to other people in order to learn more about my racial/ethnic group(s).
Strongly Disagree	13 (5.0%)
Disagree	35 (13.5%)
Neutral	47 (18.1%)
Agree	100 (38.5%)
Strongly Agree	63 (24.2%)
Refuse to Answer	2 (0.8%)
I feel a strong attachment towards my own racial/ethnic group(s).
Strongly Disagree	10 (3.8%)
Disagree	29 (11.2%)
Neutral	68 (26.2%)
Agree	90 (34.6%)
Strongly Agree	59 (22.7%)
Refuse to Answer	4 (1.5%)

Coefficient Alpha

• total:

  raw_alpha	std.alpha	G6(smc)	average_r	S/N	ase	mean	sd	median_r
  0.8186	0.8222	0.8206	0.4352	4.624	0.01765	3.673	0.7662	0.4451

• alpha.drop:

  	raw_alpha	std.alpha	G6(smc)	average_r	S/N	alpha se	var.r	med.r
  bl_identity1	0.8108	0.8148	0.8034	0.4681	4.4	0.01881	0.01098	0.4509
  bl_identity2	0.8001	0.8035	0.7924	0.4499	4.09	0.01972	0.01434	0.4509
  bl_identity3	0.7852	0.7874	0.7758	0.4256	3.704	0.02133	0.01465	0.4016
  bl_identity4	0.7762	0.7809	0.7665	0.4162	3.564	0.0222	0.01437	0.4134
  bl_identity5	0.7792	0.7842	0.77	0.4209	3.634	0.02194	0.01446	0.4391
  bl_identity6	0.7874	0.7909	0.7791	0.4306	3.782	0.02094	0.01515	0.4509

• item.stats:

  	n	raw.r	std.r	r.cor	r.drop	mean	sd
  bl_identity1	260	0.6668	0.6523	0.5486	0.4911	3.55	1.116
  bl_identity2	259	0.6968	0.6938	0.6076	0.5368	3.568	1.081
  bl_identity3	258	0.7319	0.7497	0.6902	0.6169	3.86	0.906
  bl_identity4	257	0.7689	0.7712	0.7254	0.6533	3.837	0.9705
  bl_identity5	258	0.7696	0.7604	0.71	0.6307	3.64	1.139
  bl_identity6	256	0.7356	0.738	0.6728	0.5943	3.621	1.078

• response.freq:

  	1	2	3	4	5	miss
  bl_identity1	0.05	0.1154	0.3	0.3038	0.2308	0
  bl_identity2	0.03475	0.139	0.2664	0.3436	0.2162	0.003846
  bl_identity3	0.01163	0.06202	0.2326	0.4419	0.2519	0.007692
  bl_identity4	0.02335	0.07393	0.2023	0.4436	0.2568	0.01154
  bl_identity5	0.05039	0.1357	0.1822	0.3876	0.2442	0.007692
  bl_identity6	0.03906	0.1133	0.2656	0.3516	0.2305	0.01538

Sexual Orientation Identity

Toomey, R. B., Anhalt, K., & Shramko, M. (2016). An examination of the validity and reliability of a measure of sexual orientation identity exploration, resolution, and affirmation. Self and Identity, 15(4), 488-504.

• Items administered to the subset of participants not reporting a “straight” sexual orientation

	Overall (N=260)
I have attended events that have helped me learn about my sexual orientation, such as gay-straight alliance meetings, or events at a lesbian, gay, bisexual, and transgender (LGBT) community center.
Does not describe me at all	50 (21.2%)
Describes me a little	56 (23.7%)
Describes me well	54 (22.9%)
Describes me very well	74 (31.4%)
Refuse to Answer	2 (0.8%)
Missing	24 (9.2%)
I am glad to have my sexual orientation.
Does not describe me at all	6 (2.5%)
Describes me a little	12 (5.1%)
Describes me well	70 (29.7%)
Describes me very well	146 (61.9%)
Refuse to Answer	2 (0.8%)
Missing	24 (9.2%)
I understand how I feel about my sexual orientation.
Does not describe me at all	3 (1.3%)
Describes me a little	18 (7.6%)
Describes me well	64 (27.1%)
Describes me very well	149 (63.1%)
Refuse to Answer	2 (0.8%)
Missing	24 (9.2%)
I have a clear sense of what my sexual orientation means to me.
Does not describe me at all	1 (0.4%)
Describes me a little	19 (8.1%)
Describes me well	54 (22.9%)
Describes me very well	160 (67.8%)
Refuse to Answer	2 (0.8%)
Missing	24 (9.2%)
I have participated in activities that have taught me about my sexual orientation.
Does not describe me at all	31 (13.1%)
Describes me a little	30 (12.7%)
Describes me well	56 (23.7%)
Describes me very well	116 (49.2%)
Refuse to Answer	3 (1.3%)
Missing	24 (9.2%)
I like my sexual orientation.
Does not describe me at all	5 (2.1%)
Describes me a little	12 (5.1%)
Describes me well	49 (20.8%)
Describes me very well	169 (71.6%)
Refuse to Answer	1 (0.4%)
Missing	24 (9.2%)

Coefficient Alpha

• total:

  raw_alpha	std.alpha	G6(smc)	average_r	S/N	ase	mean	sd	median_r
  0.7525	0.791	0.825	0.3868	3.784	0.02435	2.333	0.5771	0.3525

• alpha.drop:

  	raw_alpha	std.alpha	G6(smc)	average_r	S/N	alpha se	var.r	med.r
  bl_soidentity1	0.7773	0.8116	0.8194	0.4628	4.308	0.02286	0.03053	0.4789
  bl_soidentity2	0.679	0.7185	0.7384	0.3379	2.552	0.03148	0.03948	0.3018
  bl_soidentity3	0.7183	0.7531	0.7771	0.3788	3.05	0.02743	0.03816	0.3349
  bl_soidentity4	0.7191	0.7552	0.7779	0.3815	3.085	0.02765	0.04081	0.3349
  bl_soidentity5	0.7194	0.7777	0.8018	0.4116	3.498	0.02955	0.05677	0.4789
  bl_soidentity6	0.692	0.7273	0.7463	0.3479	2.668	0.03013	0.0371	0.3248

• item.stats:

  	n	raw.r	std.r	r.cor	r.drop	mean	sd
  bl_soidentity1	234	0.6293	0.518	0.3842	0.3548	1.65	1.137
  bl_soidentity2	234	0.78	0.8157	0.8081	0.6635	2.521	0.7128
  bl_soidentity3	234	0.6523	0.7182	0.6609	0.4986	2.534	0.694
  bl_soidentity4	234	0.6537	0.7118	0.6502	0.5025	2.594	0.6565
  bl_soidentity5	233	0.7177	0.6401	0.5287	0.506	2.103	1.074
  bl_soidentity6	235	0.7361	0.7919	0.7786	0.6195	2.626	0.6827

• response.freq:

  	0	1	2	3	miss
  bl_soidentity1	0.2137	0.2393	0.2308	0.3162	0.1
  bl_soidentity2	0.02564	0.05128	0.2991	0.6239	0.1
  bl_soidentity3	0.01282	0.07692	0.2735	0.6368	0.1
  bl_soidentity4	0.004274	0.0812	0.2308	0.6838	0.1
  bl_soidentity5	0.133	0.1288	0.2403	0.4979	0.1038
  bl_soidentity6	0.02128	0.05106	0.2085	0.7191	0.09615

Genderqueer Identity

McGuire, J. K., Beek, T. F., Catalpa, J. M., & Steensma, T. D. (2019). The Genderqueer Identity (GQI) Scale: Measurement and validation of four distinct subscales with trans and LGBQ clinical and community samples in two countries. International Journal of Transgenderism, 20(2-3), 289-304.

• Items administered to the subset of participants reporting a sex assigned at birth which did not match their current gender identity
• One item from each subscale administered

	Overall (N=260)
I don't want to be seen in the gender binary (as either male or female).
Strongly Disagree	7 (8.3%)
Disagree	18 (21.4%)
Neutral	18 (21.4%)
Agree	18 (21.4%)
Strongly Agree	20 (23.8%)
Refuse to Answer	3 (3.6%)
Missing	176 (67.7%)
My gender is something I have spent a lot of time figuring out.
Strongly Disagree	8 (9.5%)
Disagree	15 (17.9%)
Neutral	12 (14.3%)
Agree	26 (31.0%)
Strongly Agree	23 (27.4%)
Refuse to Answer	0 (0%)
Missing	176 (67.7%)
The way I show my gender is important because I push society to question traditional gender roles.
Strongly Disagree	1 (1.2%)
Disagree	4 (4.8%)
Neutral	14 (16.7%)
Agree	32 (38.1%)
Strongly Agree	32 (38.1%)
Refuse to Answer	1 (1.2%)
Missing	176 (67.7%)
In the future, I think my gender will be fluid or change over time.
Strongly Disagree	11 (13.1%)
Disagree	13 (15.5%)
Neutral	13 (15.5%)
Agree	23 (27.4%)
Strongly Agree	24 (28.6%)
Refuse to Answer	0 (0%)
Missing	176 (67.7%)

Coefficient Alpha

• total:

  raw_alpha	std.alpha	G6(smc)	average_r	S/N	ase	mean	sd	median_r
  0.6434	0.6321	0.5997	0.3005	1.718	0.03413	2.589	0.8616	0.3529

• alpha.drop:

  	raw_alpha	std.alpha	G6(smc)	average_r	S/N	alpha se	var.r	med.r
  bl_gqidentity1	0.5865	0.5779	0.5295	0.3133	1.369	0.04136	0.03843	0.3536
  bl_gqidentity2	0.4375	0.4198	0.3472	0.1943	0.7235	0.05649	0.01891	0.1305
  bl_gqidentity3	0.6727	0.6723	0.5836	0.4061	2.051	0.03504	0.004995	0.3801
  bl_gqidentity4	0.5501	0.5483	0.473	0.2881	1.214	0.0459	0.0188	0.3536

• item.stats:

  	n	raw.r	std.r	r.cor	r.drop	mean	sd
  bl_gqidentity1	82	0.6917	0.6754	0.4889	0.4077	2.329	1.296
  bl_gqidentity2	85	0.814	0.8049	0.7432	0.5954	2.506	1.324
  bl_gqidentity3	84	0.4919	0.5745	0.3354	0.2492	3.095	0.9264
  bl_gqidentity4	85	0.7453	0.7029	0.5681	0.4582	2.424	1.383

• response.freq:

  	0	1	2	3	4	miss
  bl_gqidentity1	0.08537	0.2195	0.2195	0.2317	0.2439	0.6858
  bl_gqidentity2	0.09412	0.1765	0.1412	0.3059	0.2824	0.6743
  bl_gqidentity3	0.0119	0.04762	0.1667	0.381	0.3929	0.6782
  bl_gqidentity4	0.1294	0.1529	0.1647	0.2706	0.2824	0.6743

Physical and Mental Health

	Overall (N=261)
In general, would you say your physical health is:(Read each)
Poor	12 (4.6%)
Fair	45 (17.2%)
Good	93 (35.6%)
Very good	69 (26.4%)
Excellent	42 (16.1%)
Refuse to Answer	0 (0%)
In general, would you say your mental health is:(Read each)
Poor	24 (9.2%)
Fair	72 (27.6%)
Good	65 (24.9%)
Very good	55 (21.1%)
Excellent	45 (17.2%)
Refuse to Answer	0 (0%)

Diagnosis

	Overall (N=261)
How old were you when you had your first HIV test? Please enter your age. If you are not sure, take your best guess.
Mean (SD)	18.7 (3.12)
Median [Min, Max]	18.0 [8.00, 28.0]
How old were you when you were first diagnosed with HIV? Please enter your age. If you are not sure, take your best guess.
Mean (SD)	21.3 (2.91)
Median [Min, Max]	21.0 [13.0, 28.0]
Under what circumstances were you first diagnosed with HIV?(Read each)
Tested as part of routine care	69 (26.4%)
Tested because a provider recommended it	15 (5.7%)
Tested because an organization reached out to you	15 (5.7%)
Saw an opportunity to be tested in the community	31 (11.9%)
Sought testing yourself because you were concerned about HIV	103 (39.5%)
Other	28 (10.7%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Where were you first told that you have an HIV diagnosis?
Outpatient clinic	117 (44.8%)
Hospital, as an inpatient	36 (13.8%)
Emergency room (ER) or emergency department (ED)	14 (5.4%)
Community-based program (community HIV testing program, mobile unit, etc.)	63 (24.1%)
Community event (PRIDE event, local health fair)	9 (3.4%)
Research study setting	2 (0.8%)
Syringe exchange services program	0 (0%)
Drug treatment program	1 (0.4%)
Jail/prison	1 (0.4%)
Donating blood/plasma	5 (1.9%)
During a pregnancy	2 (0.8%)
Other	9 (3.4%)
Do not Know	2 (0.8%)
Refuse to Answer	0 (0%)
Years Living with HIV at Baseline
Mean (SD)	3.91 (2.87)
Median [Min, Max]	3.00 [0, 14.0]
Missing	1 (0.4%)

ART

Recent

	Overall (N=261)
Did you take at least one dose of any HIV medication in the past 4 weeks?
No	14 (5.4%)
Yes	234 (89.7%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Missing	13 (5.0%)
Using this scale, which goes from 0 (No HIV medication) to 100 (every dose of HIV medication was taken as prescribed) how much [bl_artvas1] have you taken in the last 4 weeks?
Mean (SD)	86.6 (26.7)
Median [Min, Max]	100 [0, 100]
Missing	13 (5.0%)

History/Current Regimen

	Overall (N=261)
Since you were first diagnosed with HIV, did you ever take pills or other medicines to treat your HIV, called antiretroviral therapy (ART or ARV) medications, including HIV medication by injection?
No	4 (1.5%)
Yes	257 (98.5%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Have you ever received HIV medication by injection?
No	250 (95.8%)
Yes	6 (2.3%)
Do not Know	1 (0.4%)
Refuse to answer	0 (0%)
Missing	4 (1.5%)
How many months had passed between the time you were first diagnosed with HIV and the first time you took HIV medication?
Less than 1 month	160 (61.3%)
1-3 months after	44 (16.9%)
4-6 months after	18 (6.9%)
6-12 months after	12 (4.6%)
More than 12 months after diagnosis	20 (7.7%)
Do not Know	3 (1.1%)
Refuse to Answer	0 (0%)
Missing	4 (1.5%)
What is the longest amount of time you ever took HIV medication, in months? (Enter 0, if the longest time was less than 1 month)
Mean (SD)	22.7 (69.9)
Median [Min, Max]	12.0 [-997, 156]
Missing	4 (1.5%)
How many different times have you stopped taking HIV medication for at least two days, then started again?
Mean (SD)	7.09 (28.5)
Median [Min, Max]	1.00 [0, 400]
Missing	4 (1.5%)
Think about the last four weeks. Do you have a prescription for HIV medication?
No	13 (5.0%)
Yes, pill form HIV medication	244 (93.5%)
Yes, injectable HIV medication	4 (1.5%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)

HIV Care

	Overall (N=261)
In the past year, have you received any HIV care?
No	10 (3.8%)
Yes	251 (96.2%)
In what type of place did you receive most of your HIV care in the past year?(Read each)
Community-based clinic	147 (56.3%)
Emergency room	0 (0%)
Clinic located in a hospital	82 (31.4%)
Private doctors office	19 (7.3%)
Mobile van	0 (0%)
School/college clinic	1 (0.4%)
Other	1 (0.4%)
Refuse to Answer	1 (0.4%)
Missing	10 (3.8%)
How long have you been receiving your HIV care in this particular place?
Less than 1 month	13 (5.0%)
1-3 months	50 (19.2%)
4-6 months	29 (11.1%)
6-11 months	42 (16.1%)
1-3 years	78 (29.9%)
More than 3 years	38 (14.6%)
Do not Know	0 (0%)
Refuse to Answer	1 (0.4%)
Missing	10 (3.8%)
Is the health care setting mainly for adults, mainly for young people, or both?
Adult clinic	65 (24.9%)
Pediatric clinic (for people under 18)	2 (0.8%)
Both adults and pediatric	172 (65.9%)
Do not Know	11 (4.2%)
Refuse to Answer	1 (0.4%)
Missing	10 (3.8%)
Think about the past year. How many times did you see your HIV care medical provider? If you are not sure, take your best guess.
Mean (SD)	4.37 (4.62)
Median [Min, Max]	4.00 [0, 56.0]
In the past year, how many appointments with your HIV health care provider have you missed without cancelling in advance?
Never missed an appointment	125 (47.9%)
Once in the past year	43 (16.5%)
Twice in the past year	35 (13.4%)
Three times in the past year	22 (8.4%)
4 times in the past year	11 (4.2%)
5 or more times in the past year	21 (8.0%)
Do not Know	2 (0.8%)
Refuse to Answer	0 (0%)
Not Applicable	2 (0.8%)

Reasons for sometimes stopping or discontinuing ART

	Overall (N=168)
Doctor told you to stop.
No	160 (95.2%)
Yes	7 (4.2%)
Do not Know	1 (0.6%)
Refuse to Answer	0 (0%)
The medication(s) did not work.
No	161 (95.8%)
Yes	4 (2.4%)
Do not Know	3 (1.8%)
Refuse to Answer	0 (0%)
The medication(s) initially worked, but then stopped working.
No	158 (94.0%)
Yes	4 (2.4%)
Do not Know	6 (3.6%)
Refuse to Answer	0 (0%)
You switched to other medication(s).
No	125 (74.4%)
Yes	42 (25.0%)
Do not Know	1 (0.6%)
Refuse to Answer	0 (0%)
You did not want side effects of the medication(s).
No	120 (71.4%)
Yes	46 (27.4%)
Do not Know	2 (1.2%)
Refuse to Answer	0 (0%)
You wanted to take a break from the medication(s).
No	115 (68.5%)
Yes	50 (29.8%)
Do not Know	3 (1.8%)
Refuse to Answer	0 (0%)
You do not trust the medication(s).
No	148 (88.1%)
Yes	19 (11.3%)
Do not Know	1 (0.6%)
Refuse to Answer	0 (0%)
Could not afford the medication(s).
No	148 (88.1%)
Yes	19 (11.3%)
Do not Know	1 (0.6%)
Refuse to Answer	0 (0%)
You were on too many medication(s).
No	144 (85.7%)
Yes	24 (14.3%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Your partner or friends suggested you stop taking them.
No	166 (98.8%)
Yes	2 (1.2%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
You changed doctors or clinics.
No	117 (69.6%)
Yes	51 (30.4%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
You prefer alternative treatments.
No	150 (89.3%)
Yes	16 (9.5%)
Do not Know	2 (1.2%)
Refuse to Answer	0 (0%)
You don't want anyone to find out that you are living with HIV.
No	128 (76.2%)
Yes	36 (21.4%)
Do not Know	4 (2.4%)
Refuse to Answer	0 (0%)
You decided to stop because your CD4 and viral load numbers had been good.
No	135 (80.4%)
Yes	30 (17.9%)
Do not Know	3 (1.8%)
Refuse to Answer	0 (0%)
You believe that you have been cured of HIV.
No	157 (93.5%)
Yes	6 (3.6%)
Do not Know	5 (3.0%)
Refuse to Answer	0 (0%)
Your substance use got in the way.
No	131 (78.0%)
Yes	36 (21.4%)
Do not Know	1 (0.6%)
Refuse to Answer	0 (0%)
Your mental health conditions got in the way.
No	104 (61.9%)
Yes	62 (36.9%)
Do not Know	2 (1.2%)
Refuse to Answer	0 (0%)
Your housing situation got in the way.
No	100 (59.5%)
Yes	67 (39.9%)
Do not Know	1 (0.6%)
Refuse to Answer	0 (0%)
Your relationship with your romantic or sexual partner got in the way.
No	141 (83.9%)
Yes	25 (14.9%)
Do not Know	2 (1.2%)
Refuse to Answer	0 (0%)
There have been other reasons for stopping or discontinuing HIV medication
No	99 (58.9%)
Yes	67 (39.9%)
Do not Know	2 (1.2%)
Refuse to Answer	0 (0%)

Reasons for never taking ART

	Overall (N=4)
You could not afford the medication(s).
No	2 (50.0%)
Yes	2 (50.0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Your doctor never offered them to you.
No	2 (50.0%)
Yes	2 (50.0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Your family/friends discouraged you from taking them.
No	4 (100%)
Yes	0 (0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
You are not receiving medical care.
No	3 (75.0%)
Yes	1 (25.0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
You did not want the side effects.
No	4 (100%)
Yes	0 (0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
You were concerned about toxicity.
No	3 (75.0%)
Yes	1 (25.0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
You don't think the medication(s) work.
No	4 (100%)
Yes	0 (0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
You are worried about becoming resistant to the medication(s).
No	2 (50.0%)
Yes	2 (50.0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
You prefer alternative treatments.
No	1 (25.0%)
Yes	3 (75.0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
You don't want anyone to find your pills and figure out that you are living with HIV.
No	2 (50.0%)
Yes	2 (50.0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
You are waiting until your CD4 or viral load numbers get worse to take the medication(s).
No	4 (100%)
Yes	0 (0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Your substance use gets in the way.
No	3 (75.0%)
Yes	1 (25.0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Your mental health issues get in the way.
No	3 (75.0%)
Yes	1 (25.0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Your housing situation gets in the way.
No	2 (50.0%)
Yes	2 (50.0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
There are other reasons for never taking HIV medication(s).
No	3 (75.0%)
Yes	1 (25.0%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)

Motivation

	Overall (N=261)
On a scale of 1-10, how important is it to you today to start or restart taking HIV medication, where 1 is not important at all, and 10 is extremely important.
Mean (SD)	8.25 (2.86)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	245 (93.9%)
On a scale of 1-10, how confident are you that you could take HIV medication every day, as prescribed- if you started or restarted today, where 1 is not confident at all, and 10 is extremely confident?
Mean (SD)	8.44 (2.94)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	245 (93.9%)
On a scale of 1-10, how important is it to you today to significantly increase how often you take your HIV medication, where 1 is not important at all, and 10 is extremely important?
Mean (SD)	9.71 (0.756)
Median [Min, Max]	10.0 [8.00, 10.0]
Missing	254 (97.3%)
On a scale of 1-10, how confident are you that you could significantly increase how often you take your HIV medication, where 1 is not confident at all, and 10 is extremely confident?
Mean (SD)	8.14 (2.27)
Median [Min, Max]	9.00 [5.00, 10.0]
Missing	254 (97.3%)
On a scale of 1-10, how important is it to you today to keep taking HIV medication, where 1 is not important at all, and 10 is extremely important?
Mean (SD)	9.80 (0.725)
Median [Min, Max]	10.0 [5.00, 10.0]
Missing	34 (13.0%)
On a scale of 1-10, how confident are you that you could keep taking HIV medication, where 1 is not confident at all, and 10 is extremely confident?
Mean (SD)	9.62 (1.05)
Median [Min, Max]	10.0 [3.00, 10.0]
Missing	34 (13.0%)
On a scale of 1-10, how important is it to you today to achieve undetectable HIV viral load, where 1 is not important at all, and 10 is extremely important?
Mean (SD)	9.90 (0.441)
Median [Min, Max]	10.0 [8.00, 10.0]
Missing	221 (84.7%)
On a scale of 1-10, how confident are you that you could achieve undetectable HIV viral load, where 1 is not confident at all, and 10 is extremely confident?
Mean (SD)	9.63 (1.21)
Median [Min, Max]	10.0 [5.00, 10.0]
Missing	221 (84.7%)
On a scale of 1-10, how important is it to you today to maintain an undetectable HIV viral load, where 1 is not important at all, and 10 is extremely important?
Mean (SD)	9.93 (0.440)
Median [Min, Max]	10.0 [5.00, 10.0]
Missing	58 (22.2%)
On a scale of 1-10, how confident are you that you could maintain an undetectable HIV viral load, where 1 is not confident at all, and 10 is extremely confident?
Mean (SD)	9.70 (0.914)
Median [Min, Max]	10.0 [2.00, 10.0]
Missing	58 (22.2%)
On a scale of 1-10, how important is it to you today to attend your HIV medical care appointments, as recommended, where 1 is not important at all, and 10 is extremely important?
Mean (SD)	9.62 (1.29)
Median [Min, Max]	10.0 [1.00, 10.0]
On a scale of 1-10, how confident are you that you could attend your HIV medical care appointments, as recommended, where 1 is not at all confident and 10 is extremely confident?
Mean (SD)	9.38 (1.36)
Median [Min, Max]	10.0 [2.00, 10.0]

Life Outcome Expectancies

Hussen, S. A., Harper, G. W., Bauermeister, J. A., Hightow-Weidman, L. B., & Adolescent Medicine Trials Network for HIV/AIDS Interventions. (2015). Psychosocial influences on engagement in care among HIV-positive young black gay/bisexual and other men who have sex with men. AIDS patient care and STDs, 29(2), 77-85.

	Overall (N=261)
How likely is it that you will finish high school?
Not at all	9 (3.4%)
A little	4 (1.5%)
Somewhat	11 (4.2%)
Very	26 (10.0%)
Has already occurred	210 (80.5%)
Do not Know	1 (0.4%)
Refuse to Answer	0 (0%)
How likely is it that you will finish college?
Not at all	28 (10.7%)
A little	24 (9.2%)
Somewhat	61 (23.4%)
Very	89 (34.1%)
Has already occurred	37 (14.2%)
Do not Know	21 (8.0%)
Refuse to Answer	1 (0.4%)
As an adult, how likely is it that you will be employed for long periods?
Not at all	6 (2.3%)
A little	8 (3.1%)
Somewhat	57 (21.8%)
Very	135 (51.7%)
Has already occurred	32 (12.3%)
Do not Know	23 (8.8%)
Refuse to Answer	0 (0%)
As an adult, how likely is it that you will be on welfare/ public assistance for at least a year?
Not at all	39 (14.9%)
A little	48 (18.4%)
Somewhat	57 (21.8%)
Very	59 (22.6%)
Has already occurred	29 (11.1%)
Do not Know	29 (11.1%)
Refuse to Answer	0 (0%)
As an adult, how likely is it that you will have the career or job that you want?
Not at all	9 (3.4%)
A little	18 (6.9%)
Somewhat	64 (24.5%)
Very	136 (52.1%)
Has already occurred	19 (7.3%)
Do not Know	14 (5.4%)
Refuse to Answer	1 (0.4%)
How likely is it that you will have children?
Not at all	65 (24.9%)
A little	37 (14.2%)
Somewhat	50 (19.2%)
Very	62 (23.8%)
Has already occurred	21 (8.0%)
Do not Know	26 (10.0%)
Refuse to Answer	0 (0%)
How likely is it that you will have a long-term love relationship?
Not at all	16 (6.1%)
A little	24 (9.2%)
Somewhat	56 (21.5%)
Very	89 (34.1%)
Has already occurred	39 (14.9%)
Do not Know	37 (14.2%)
Refuse to Answer	0 (0%)
How likely is it that you will be comfortable financially?
Not at all	8 (3.1%)
A little	24 (9.2%)
Somewhat	79 (30.3%)
Very	126 (48.3%)
Has already occurred	6 (2.3%)
Do not Know	18 (6.9%)
Refuse to Answer	0 (0%)
How likely is it that you will have good family relationships?
Not at all	17 (6.5%)
A little	26 (10.0%)
Somewhat	60 (23.0%)
Very	116 (44.4%)
Has already occurred	28 (10.7%)
Do not Know	13 (5.0%)
Refuse to Answer	1 (0.4%)
How likely is it that you will live to age 70?
Not at all	13 (5.0%)
A little	21 (8.0%)
Somewhat	40 (15.3%)
Very	142 (54.4%)
Has already occurred	0 (0%)
Do not Know	44 (16.9%)
Refuse to Answer	1 (0.4%)
How likely is it that you will live to age 50?
Not at all	5 (1.9%)
A little	13 (5.0%)
Somewhat	27 (10.3%)
Very	179 (68.6%)
Has already occurred	0 (0%)
Do not Know	18 (6.9%)
Refuse to Answer	0 (0%)
Missing	19 (7.3%)
How likely is it that you will live to age 30?
Not at all	1 (0.4%)
A little	4 (1.5%)
Somewhat	13 (5.0%)
Very	215 (82.4%)
Has already occurred	0 (0%)
Do not Know	8 (3.1%)
Refuse to Answer	0 (0%)
Missing	20 (7.7%)

IPV

Goldenberg, T., Jadwin-Cakmak, L., & Harper, G. W. (2018). Intimate partner violence among transgender youth: Associations with intrapersonal and structural factors. Violence and gender, 5(1), 19-25.

	Overall (N=261)
Have you ever been slapped, punched, kicked, beaten up, or otherwise physically or sexually hurt by a partner, boyfriend/girlfriend, spouse, or some other intimate partner?
No	136 (52.1%)
Yes	120 (46.0%)
Refuse to Answer	4 (1.5%)
Missing	1 (0.4%)
Have you ever slapped, punched, kicked, beaten up, or otherwise physically or sexually hurt a partner, boyfriend/girlfriend, spouse, or some other intimate partner?
No	171 (65.5%)
Yes	85 (32.6%)
Refuse to Answer	4 (1.5%)
Missing	1 (0.4%)
In the past 6 months, have you ever been slapped, punched, kicked, beaten up, or otherwise physically or sexually hurt by a partner, boyfriend/girlfriend, spouse, or some other intimate partner?
No	92 (35.2%)
Yes	28 (10.7%)
Refuse to Answer	0 (0%)
Missing	141 (54.0%)
In the past 6 months, have you ever slapped, punched, kicked, beaten up, or otherwise physically or sexually hurt a partner, boyfriend/girlfriend, spouse, or some other intimate partner?
No	68 (26.1%)
Yes	17 (6.5%)
Refuse to Answer	0 (0%)
Missing	176 (67.4%)

Social Support

Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social science & medicine, 32(6), 705-714.

	Overall (N=261)
If you needed it, how often is someone available to have a good time with?
None of the time	13 (5.0%)
A little of the time	56 (21.5%)
Some of the time	70 (26.8%)
Most of the time	79 (30.3%)
All of the time	35 (13.4%)
Do not Know	5 (1.9%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
If you needed it, how often is someone available to turn to for suggestions about how to deal with a personal problem?
None of the time	14 (5.4%)
A little of the time	53 (20.3%)
Some of the time	63 (24.1%)
Most of the time	73 (28.0%)
All of the time	52 (19.9%)
Do not Know	3 (1.1%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
If you needed it, how often is someone available who understands your problems?
None of the time	26 (10.0%)
A little of the time	58 (22.2%)
Some of the time	65 (24.9%)
Most of the time	71 (27.2%)
All of the time	36 (13.8%)
Do not Know	2 (0.8%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
If you needed it, how often is someone available to love and make you feel wanted?
None of the time	25 (9.6%)
A little of the time	47 (18.0%)
Some of the time	65 (24.9%)
Most of the time	55 (21.1%)
All of the time	54 (20.7%)
Do not Know	9 (3.4%)
Refuse to Answer	5 (1.9%)
Missing	1 (0.4%)
If you needed it, how often is someone available to talk with about difficult medical decisions?
None of the time	28 (10.7%)
A little of the time	57 (21.8%)
Some of the time	55 (21.1%)
Most of the time	61 (23.4%)
All of the time	46 (17.6%)
Do not Know	11 (4.2%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
If you needed it, how often is someone available to talk about HIV medications?
None of the time	36 (13.8%)
A little of the time	56 (21.5%)
Some of the time	62 (23.8%)
Most of the time	46 (17.6%)
All of the time	55 (21.1%)
Do not Know	4 (1.5%)
Refuse to Answer	1 (0.4%)
Missing	1 (0.4%)
If you needed it, how often is someone available to talk about what it's like to live with HIV?
None of the time	45 (17.2%)
A little of the time	66 (25.3%)
Some of the time	48 (18.4%)
Most of the time	42 (16.1%)
All of the time	52 (19.9%)
Do not Know	6 (2.3%)
Refuse to Answer	1 (0.4%)
Missing	1 (0.4%)
If you needed it, how often is someone available who will listen with an open mind about health concerns?
None of the time	21 (8.0%)
A little of the time	58 (22.2%)
Some of the time	59 (22.6%)
Most of the time	69 (26.4%)
All of the time	45 (17.2%)
Do not Know	7 (2.7%)
Refuse to Answer	1 (0.4%)
Missing	1 (0.4%)
If you needed it, how often is someone available who has been in the same situation as you with respect to health issues?
None of the time	33 (12.6%)
A little of the time	61 (23.4%)
Some of the time	51 (19.5%)
Most of the time	52 (19.9%)
All of the time	50 (19.2%)
Do not Know	10 (3.8%)
Refuse to Answer	3 (1.1%)
Missing	1 (0.4%)

	Overall (N=261)
Social Support Total
Mean (SD)	54.5 (23.9)
Median [Min, Max]	53.6 [0, 100]
Missing	4 (1.5%)

Coefficient Alpha

• total:

  raw_alpha	std.alpha	G6(smc)	average_r	S/N	ase	mean	sd	median_r
  0.9083	0.9086	0.9222	0.5248	9.939	0.008577	2.179	0.9573	0.5235

• alpha.drop:

  	raw_alpha	std.alpha	G6(smc)	average_r	S/N	alpha se	var.r	med.r
  bl_mos1	0.9057	0.9059	0.9163	0.5462	9.63	0.008894	0.01398	0.5323
  bl_mos2	0.9	0.8995	0.9093	0.528	8.949	0.009346	0.01693	0.5235
  bl_mos3	0.8995	0.8992	0.9119	0.5271	8.917	0.009407	0.01795	0.5192
  bl_mos4	0.9039	0.9039	0.9182	0.5403	9.403	0.009071	0.01769	0.5407
  bl_mos5	0.8916	0.8921	0.9049	0.5082	8.266	0.01026	0.01712	0.4632
  bl_mos6	0.8963	0.8974	0.9058	0.5222	8.743	0.009793	0.01208	0.5235
  bl_mos7	0.898	0.8986	0.9086	0.5256	8.865	0.009624	0.01291	0.5235
  bl_mos8	0.8881	0.8885	0.903	0.4991	7.973	0.01058	0.01413	0.4639
  bl_mos9	0.8982	0.8988	0.9131	0.5262	8.886	0.009648	0.01637	0.5235

• item.stats:

  	n	raw.r	std.r	r.cor	r.drop	mean	sd
  bl_mos1	253	0.6575	0.6722	0.6222	0.5707	2.265	1.108
  bl_mos2	255	0.7365	0.7468	0.7157	0.6597	2.376	1.18
  bl_mos3	256	0.7391	0.7505	0.7136	0.6664	2.129	1.209
  bl_mos4	246	0.6916	0.6964	0.6387	0.6045	2.268	1.278
  bl_mos5	247	0.8266	0.828	0.8118	0.7735	2.162	1.287
  bl_mos6	255	0.7818	0.7706	0.756	0.7105	2.11	1.35
  bl_mos7	253	0.7675	0.7565	0.7344	0.6909	1.96	1.402
  bl_mos8	252	0.8645	0.8649	0.8592	0.8265	2.234	1.226
  bl_mos9	247	0.7589	0.754	0.7168	0.6852	2.101	1.341

• response.freq:

  	0	1	2	3	4	miss
  bl_mos1	0.05138	0.2213	0.2767	0.3123	0.1383	0.03065
  bl_mos2	0.0549	0.2078	0.2471	0.2863	0.2039	0.02299
  bl_mos3	0.1016	0.2266	0.2539	0.2773	0.1406	0.01916
  bl_mos4	0.1016	0.1911	0.2642	0.2236	0.2195	0.05747
  bl_mos5	0.1134	0.2308	0.2227	0.247	0.1862	0.05364
  bl_mos6	0.1412	0.2196	0.2431	0.1804	0.2157	0.02299
  bl_mos7	0.1779	0.2609	0.1897	0.166	0.2055	0.03065
  bl_mos8	0.08333	0.2302	0.2341	0.2738	0.1786	0.03448
  bl_mos9	0.1336	0.247	0.2065	0.2105	0.2024	0.05364

Everyday Discrimination

Williams, D. R., Yu, Y., Jackson, J. S., & Anderson, N. B. (1997). Racial differences in physical and mental health: Socio-economic status, stress and discrimination. Journal of health psychology, 2(3), 335-351.

	Overall (N=261)
You are treated with less courtesy than other people are.
Never	81 (31.0%)
Less than once a year	32 (12.3%)
A few times a year	61 (23.4%)
A few times a month	36 (13.8%)
At least once a week	16 (6.1%)
Almost everyday	25 (9.6%)
Refuse to Answer	9 (3.4%)
Missing	1 (0.4%)
You are treated with less respect than other people are.
Never	77 (29.5%)
Less than once a year	28 (10.7%)
A few times a year	69 (26.4%)
A few times a month	35 (13.4%)
At least once a week	17 (6.5%)
Almost everyday	28 (10.7%)
Refuse to Answer	6 (2.3%)
Missing	1 (0.4%)
You receive poorer service than other people at restaurants or stores.
Never	100 (38.3%)
Less than once a year	53 (20.3%)
A few times a year	45 (17.2%)
A few times a month	27 (10.3%)
At least once a week	16 (6.1%)
Almost everyday	14 (5.4%)
Refuse to Answer	5 (1.9%)
Missing	1 (0.4%)
People act as if they think you are not smart.
Never	71 (27.2%)
Less than once a year	46 (17.6%)
A few times a year	47 (18.0%)
A few times a month	34 (13.0%)
At least once a week	17 (6.5%)
Almost everyday	41 (15.7%)
Refuse to Answer	4 (1.5%)
Missing	1 (0.4%)
People act as if they are afraid of you.
Never	119 (45.6%)
Less than once a year	31 (11.9%)
A few times a year	51 (19.5%)
A few times a month	20 (7.7%)
At least once a week	13 (5.0%)
Almost everyday	17 (6.5%)
Refuse to Answer	9 (3.4%)
Missing	1 (0.4%)
People act as if they think you are dishonest.
Never	114 (43.7%)
Less than once a year	42 (16.1%)
A few times a year	44 (16.9%)
A few times a month	18 (6.9%)
At least once a week	10 (3.8%)
Almost everyday	25 (9.6%)
Refuse to Answer	7 (2.7%)
Missing	1 (0.4%)
People act as if they're better than you are.
Never	50 (19.2%)
Less than once a year	34 (13.0%)
A few times a year	61 (23.4%)
A few times a month	33 (12.6%)
At least once a week	24 (9.2%)
Almost everyday	53 (20.3%)
Refuse to Answer	5 (1.9%)
Missing	1 (0.4%)
You are called names or insulted.
Never	73 (28.0%)
Less than once a year	44 (16.9%)
A few times a year	63 (24.1%)
A few times a month	30 (11.5%)
At least once a week	12 (4.6%)
Almost everyday	34 (13.0%)
Refuse to Answer	4 (1.5%)
Missing	1 (0.4%)
You are threatened or harassed.
Never	104 (39.8%)
Less than once a year	53 (20.3%)
A few times a year	52 (19.9%)
A few times a month	15 (5.7%)
At least once a week	10 (3.8%)
Almost everyday	21 (8.0%)
Refuse to Answer	5 (1.9%)
Missing	1 (0.4%)

	Overall (N=261)
Everyday Discrimination Total
Mean (SD)	24.4 (11.1)
Median [Min, Max]	22.0 [9.00, 54.0]
Missing	3 (1.1%)

Coefficient Alpha

• total:

  raw_alpha	std.alpha	G6(smc)	average_r	S/N	ase	mean	sd	median_r
  0.8997	0.8995	0.91	0.4987	8.955	0.009324	0.9053	0.411	0.4812

• alpha.drop:

  	raw_alpha	std.alpha	G6(smc)	average_r	S/N	alpha se	var.r	med.r
  bl_discrim1	0.8873	0.8869	0.8904	0.495	7.843	0.0105	0.007489	0.4812
  bl_discrim2	0.8804	0.8803	0.882	0.4789	7.352	0.01116	0.006157	0.4745
  bl_discrim3	0.8881	0.8876	0.8983	0.4967	7.895	0.01049	0.01063	0.4812
  bl_discrim4	0.8844	0.8846	0.8941	0.4893	7.663	0.01089	0.01123	0.4563
  bl_discrim5	0.8962	0.8962	0.9047	0.519	8.633	0.009734	0.01069	0.5084
  bl_discrim6	0.8919	0.8917	0.8987	0.5073	8.237	0.01009	0.01179	0.4816
  bl_discrim7	0.8891	0.8889	0.8995	0.5001	8.003	0.01041	0.01188	0.4812
  bl_discrim8	0.8848	0.8846	0.8936	0.4894	7.669	0.0108	0.01191	0.4563
  bl_discrim9	0.8937	0.8939	0.9021	0.5129	8.425	0.009995	0.01117	0.5084

• item.stats:

  	n	raw.r	std.r	r.cor	r.drop	mean	sd
  bl_discrim1	251	0.7614	0.7601	0.748	0.6824	2.797	1.638
  bl_discrim2	254	0.8249	0.8275	0.8314	0.7704	2.886	1.649
  bl_discrim3	255	0.7514	0.7531	0.7172	0.6758	2.404	1.51
  bl_discrim4	256	0.794	0.7842	0.7565	0.7184	3.012	1.772
  bl_discrim5	251	0.6502	0.6599	0.5961	0.5604	2.315	1.567
  bl_discrim6	253	0.7097	0.7089	0.6631	0.6219	2.379	1.647
  bl_discrim7	255	0.7472	0.739	0.6956	0.6614	3.416	1.77
  bl_discrim8	256	0.7878	0.7835	0.7544	0.7139	2.867	1.675
  bl_discrim9	255	0.6811	0.6853	0.6304	0.5948	2.361	1.548

• response.freq:

  	1	2	3	4	5	6	miss
  bl_discrim1	0.3227	0.1275	0.243	0.1434	0.06375	0.0996	0.03831
  bl_discrim2	0.3031	0.1102	0.2717	0.1378	0.06693	0.1102	0.02682
  bl_discrim3	0.3922	0.2078	0.1765	0.1059	0.06275	0.0549	0.02299
  bl_discrim4	0.2773	0.1797	0.1836	0.1328	0.06641	0.1602	0.01916
  bl_discrim5	0.4741	0.1235	0.2032	0.07968	0.05179	0.06773	0.03831
  bl_discrim6	0.4506	0.166	0.1739	0.07115	0.03953	0.09881	0.03065
  bl_discrim7	0.1961	0.1333	0.2392	0.1294	0.09412	0.2078	0.02299
  bl_discrim8	0.2852	0.1719	0.2461	0.1172	0.04688	0.1328	0.01916
  bl_discrim9	0.4078	0.2078	0.2039	0.05882	0.03922	0.08235	0.02299

HIV Stigma

Wright, K., Naar-King, S., Lam, P., Templin, T., & Frey, M. (2007). Stigma scale revised: reliability and validity of a brief measure of stigma for HIV+ youth. Journal of adolescent health, 40(1), 96-98.

	Overall (N=261)
I have been hurt by how people reacted to learning I have HIV.
Strongly Disagree	67 (25.7%)
Disagree	46 (17.6%)
Agree	83 (31.8%)
Strongly Agree	46 (17.6%)
Refuse to Answer	18 (6.9%)
Missing	1 (0.4%)
I have stopped socializing with some people because of their reactions of my having HIV.
Strongly Disagree	65 (24.9%)
Disagree	66 (25.3%)
Agree	73 (28.0%)
Strongly Agree	49 (18.8%)
Refuse to Answer	7 (2.7%)
Missing	1 (0.4%)
I have lost friends by telling them I have HIV.
Strongly Disagree	80 (30.7%)
Disagree	78 (29.9%)
Agree	59 (22.6%)
Strongly Agree	36 (13.8%)
Refuse to Answer	7 (2.7%)
Missing	1 (0.4%)
I am very careful who I tell that I have HIV.
Strongly Disagree	12 (4.6%)
Disagree	10 (3.8%)
Agree	75 (28.7%)
Strongly Agree	159 (60.9%)
Refuse to Answer	4 (1.5%)
Missing	1 (0.4%)
I worry that people who know I have HIV will tell others.
Strongly Disagree	41 (15.7%)
Disagree	36 (13.8%)
Agree	77 (29.5%)
Strongly Agree	98 (37.5%)
Refuse to Answer	8 (3.1%)
Missing	1 (0.4%)
I feel that I am not as good a person as others because I have HIV.
Strongly Disagree	100 (38.3%)
Disagree	48 (18.4%)
Agree	62 (23.8%)
Strongly Agree	43 (16.5%)
Refuse to Answer	7 (2.7%)
Missing	1 (0.4%)
Having HIV makes me feel unclean.
Strongly Disagree	86 (33.0%)
Disagree	64 (24.5%)
Agree	70 (26.8%)
Strongly Agree	32 (12.3%)
Refuse to Answer	8 (3.1%)
Missing	1 (0.4%)
Having HIV makes me feel that I'm a bad person.
Strongly Disagree	110 (42.1%)
Disagree	82 (31.4%)
Agree	35 (13.4%)
Strongly Agree	28 (10.7%)
Refuse to Answer	5 (1.9%)
Missing	1 (0.4%)
Most people think that a person with HIV is disgusting.
Strongly Disagree	31 (11.9%)
Disagree	36 (13.8%)
Agree	100 (38.3%)
Strongly Agree	85 (32.6%)
Refuse to Answer	8 (3.1%)
Missing	1 (0.4%)
Most people with HIV are rejected when others find out.
Strongly Disagree	16 (6.1%)
Disagree	27 (10.3%)
Agree	117 (44.8%)
Strongly Agree	90 (34.5%)
Refuse to Answer	10 (3.8%)
Missing	1 (0.4%)

	Overall (N=261)
HIV Stigma Total
Mean (SD)	25.9 (6.44)
Median [Min, Max]	26.0 [10.0, 40.0]
Missing	2 (0.8%)

Coefficient Alpha

• total:

  raw_alpha	std.alpha	G6(smc)	average_r	S/N	ase	mean	sd	median_r
  0.8288	0.8262	0.8611	0.3222	4.754	0.01574	2.587	0.6442	0.3067

• alpha.drop:

  	raw_alpha	std.alpha	G6(smc)	average_r	S/N	alpha se	var.r	med.r
  bl_stigma1	0.8116	0.8087	0.8416	0.3196	4.227	0.01735	0.02296	0.3086
  bl_stigma2	0.8041	0.8022	0.8281	0.3106	4.055	0.01804	0.02065	0.3058
  bl_stigma3	0.8147	0.8128	0.8439	0.3255	4.343	0.01714	0.02168	0.3126
  bl_stigma4	0.8323	0.8327	0.8623	0.3561	4.977	0.01577	0.0195	0.3192
  bl_stigma5	0.8133	0.8085	0.8461	0.3193	4.222	0.01718	0.02814	0.303
  bl_stigma6	0.8081	0.8057	0.8448	0.3154	4.146	0.0178	0.02452	0.2999
  bl_stigma7	0.8096	0.8071	0.8337	0.3173	4.184	0.0175	0.02038	0.3086
  bl_stigma8	0.8114	0.8096	0.8386	0.3208	4.251	0.01741	0.0205	0.3106
  bl_stigma9	0.8098	0.805	0.8425	0.3145	4.129	0.01752	0.02766	0.2997
  bl_stigma10	0.8153	0.8111	0.8469	0.3229	4.293	0.01709	0.0268	0.3086

• item.stats:

  	n	raw.r	std.r	r.cor	r.drop	mean	sd
  bl_stigma1	242	0.6484	0.6396	0.6039	0.5322	2.446	1.089
  bl_stigma2	253	0.7024	0.6912	0.6814	0.602	2.419	1.072
  bl_stigma3	253	0.625	0.6055	0.5652	0.5023	2.202	1.04
  bl_stigma4	256	0.4011	0.4293	0.3312	0.2818	3.488	0.7821
  bl_stigma5	252	0.646	0.6411	0.5808	0.5171	2.921	1.087
  bl_stigma6	253	0.6832	0.6638	0.6165	0.5649	2.19	1.135
  bl_stigma7	252	0.6596	0.6525	0.6328	0.5508	2.19	1.046
  bl_stigma8	255	0.6404	0.6325	0.6042	0.534	1.925	1.003
  bl_stigma9	252	0.6554	0.6691	0.6187	0.5512	2.948	0.9866
  bl_stigma10	250	0.6061	0.6202	0.5603	0.5016	3.124	0.8435

• response.freq:

  	1	2	3	4	miss
  bl_stigma1	0.2769	0.1901	0.343	0.1901	0.0728
  bl_stigma2	0.2569	0.2609	0.2885	0.1937	0.03065
  bl_stigma3	0.3162	0.3083	0.2332	0.1423	0.03065
  bl_stigma4	0.04688	0.03906	0.293	0.6211	0.01916
  bl_stigma5	0.1627	0.1429	0.3056	0.3889	0.03448
  bl_stigma6	0.3953	0.1897	0.2451	0.17	0.03065
  bl_stigma7	0.3413	0.254	0.2778	0.127	0.03448
  bl_stigma8	0.4314	0.3216	0.1373	0.1098	0.02299
  bl_stigma9	0.123	0.1429	0.3968	0.3373	0.03448
  bl_stigma10	0.064	0.108	0.468	0.36	0.04215

Client Engagement in HIV Care

Yatchmenoff, D. K. (2005). Measuring client engagement from the client’s perspective in nonvoluntary child protective services. Research on social work practice, 15(2), 84-96.

	Overall (N=261)
I am fully invested in making use of the services [bl_hivcare2] is providing me.
Strongly Disagree	15 (5.7%)
Moderately Disagree	7 (2.7%)
Neither	6 (2.3%)
Moderately Agree	48 (18.4%)
Strongly Agree	173 (66.3%)
Refuse to Answer	6 (2.3%)
Missing	6 (2.3%)
It's really hard for me to work with staff from the [bl_hivcare2].
Strongly Disagree	136 (52.1%)
Moderately Disagree	29 (11.1%)
Neither	37 (14.2%)
Moderately Agree	24 (9.2%)
Strongly Agree	20 (7.7%)
Refuse to Answer	9 (3.4%)
Missing	6 (2.3%)
I think the staff on the [bl_hivcare2] and I truly respect each other.
Strongly Disagree	13 (5.0%)
Moderately Disagree	5 (1.9%)
Neither	8 (3.1%)
Moderately Agree	47 (18.0%)
Strongly Agree	178 (68.2%)
Refuse to Answer	4 (1.5%)
Missing	6 (2.3%)
I am not just going through the motions. I'm really involved in working with the staff on the [bl_hivcare2].
Strongly Disagree	24 (9.2%)
Moderately Disagree	12 (4.6%)
Neither	36 (13.8%)
Moderately Agree	64 (24.5%)
Strongly Agree	104 (39.8%)
Refuse to Answer	15 (5.7%)
Missing	6 (2.3%)
The [bl_hivcare2] staff and I fully agree about what is best for me.
Strongly Disagree	9 (3.4%)
Moderately Disagree	14 (5.4%)
Neither	14 (5.4%)
Moderately Agree	55 (21.1%)
Strongly Agree	154 (59.0%)
Refuse to Answer	9 (3.4%)
Missing	6 (2.3%)
What the [bl_hivcare2] staff want me to do is truly the same as what I want.
Strongly Disagree	13 (5.0%)
Moderately Disagree	11 (4.2%)
Neither	18 (6.9%)
Moderately Agree	56 (21.5%)
Strongly Agree	145 (55.6%)
Refuse to Answer	12 (4.6%)
Missing	6 (2.3%)
The [bl_hivcare2] staff really don't understand where I'm coming from.
Strongly Disagree	117 (44.8%)
Moderately Disagree	37 (14.2%)
Neither	37 (14.2%)
Moderately Agree	25 (9.6%)
Strongly Agree	29 (11.1%)
Refuse to Answer	10 (3.8%)
Missing	6 (2.3%)
The [bl_hivcare2] are truly helping me take care of some problems in my life.
Strongly Disagree	11 (4.2%)
Moderately Disagree	10 (3.8%)
Neither	26 (10.0%)
Moderately Agree	69 (26.4%)
Strongly Agree	130 (49.8%)
Refuse to Answer	9 (3.4%)
Missing	6 (2.3%)

HIV Care Satisfaction

	Overall (N=261)
Overall, you think that the services there are:
Poor	13 (5.0%)
Fair	22 (8.4%)
Good	64 (24.5%)
Very Good	60 (23.0%)
Excellent	93 (35.6%)
Refuse to Answer	3 (1.1%)
Missing	6 (2.3%)
The information that you have received there has been:
Poor	11 (4.2%)
Fair	24 (9.2%)
Good	58 (22.2%)
Very Good	63 (24.1%)
Excellent	96 (36.8%)
Refuse to Answer	3 (1.1%)
Missing	6 (2.3%)

Trust in Provider

Anderson, L. A., & Dedrick, R. F. (1990). Development of the Trust in Physician scale: a measure to assess interpersonal trust in patient-physician relationships. Psychological reports, 67(3_suppl), 1091-1100.

	Overall (N=261)
I doubt that my health care provider really cares about me as a person.
Strongly Disagree	97 (37.2%)
Disagree	55 (21.1%)
Neutral	45 (17.2%)
Agree	17 (6.5%)
Strongly Agree	19 (7.3%)
Do not Know	18 (6.9%)
Refuse to Answer	7 (2.7%)
Not Applicable	2 (0.8%)
Missing	1 (0.4%)
My health care provider is usually considerate of my needs and puts them first.
Strongly Disagree	11 (4.2%)
Disagree	13 (5.0%)
Neutral	47 (18.0%)
Agree	71 (27.2%)
Strongly Agree	99 (37.9%)
Do not Know	11 (4.2%)
Refuse to Answer	7 (2.7%)
Not Applicable	1 (0.4%)
Missing	1 (0.4%)
I trust my health care provider so much that I always try to follow his or her advice.
Strongly Disagree	9 (3.4%)
Disagree	12 (4.6%)
Neutral	44 (16.9%)
Agree	67 (25.7%)
Strongly Agree	111 (42.5%)
Do not Know	8 (3.1%)
Refuse to Answer	7 (2.7%)
Not Applicable	2 (0.8%)
Missing	1 (0.4%)
If my health care provider tells me something is so, then it must be true.
Strongly Disagree	10 (3.8%)
Disagree	16 (6.1%)
Neutral	67 (25.7%)
Agree	88 (33.7%)
Strongly Agree	65 (24.9%)
Do not Know	6 (2.3%)
Refuse to Answer	7 (2.7%)
Not Applicable	1 (0.4%)
Missing	1 (0.4%)
I sometimes distrust my health care provider's opinion and would like a second one.
Strongly Disagree	80 (30.7%)
Disagree	55 (21.1%)
Neutral	44 (16.9%)
Agree	46 (17.6%)
Strongly Agree	14 (5.4%)
Do not Know	11 (4.2%)
Refuse to Answer	9 (3.4%)
Not Applicable	1 (0.4%)
Missing	1 (0.4%)
I trust my health care provider's judgement about my medical care.
Strongly Disagree	9 (3.4%)
Disagree	13 (5.0%)
Neutral	50 (19.2%)
Agree	85 (32.6%)
Strongly Agree	85 (32.6%)
Do not Know	6 (2.3%)
Refuse to Answer	11 (4.2%)
Not Applicable	1 (0.4%)
Missing	1 (0.4%)
I feel my health care provider does not do everything he or she should for my medical care.
Strongly Disagree	82 (31.4%)
Disagree	70 (26.8%)
Neutral	34 (13.0%)
Agree	31 (11.9%)
Strongly Agree	21 (8.0%)
Do not Know	12 (4.6%)
Refuse to Answer	8 (3.1%)
Not Applicable	2 (0.8%)
Missing	1 (0.4%)
I trust my health care provider to put my medical needs above all other considerations when treating my medical problems.
Strongly Disagree	11 (4.2%)
Disagree	11 (4.2%)
Neutral	50 (19.2%)
Agree	87 (33.3%)
Strongly Agree	73 (28.0%)
Do not Know	13 (5.0%)
Refuse to Answer	14 (5.4%)
Not Applicable	1 (0.4%)
Missing	1 (0.4%)
My health care provider is a real expert in taking care of medical problems like mine.
Strongly Disagree	7 (2.7%)
Disagree	6 (2.3%)
Neutral	37 (14.2%)
Agree	100 (38.3%)
Strongly Agree	88 (33.7%)
Do not Know	9 (3.4%)
Refuse to Answer	12 (4.6%)
Not Applicable	1 (0.4%)
Missing	1 (0.4%)
I trust my health care provider to tell me if a mistake was made about my treatment.
Strongly Disagree	9 (3.4%)
Disagree	9 (3.4%)
Neutral	38 (14.6%)
Agree	99 (37.9%)
Strongly Agree	85 (32.6%)
Do not Know	10 (3.8%)
Refuse to Answer	9 (3.4%)
Not Applicable	1 (0.4%)
Missing	1 (0.4%)
I sometimes worry that my health care provider may not keep the information we discuss totally private.
Strongly Disagree	102 (39.1%)
Disagree	57 (21.8%)
Neutral	34 (13.0%)
Agree	23 (8.8%)
Strongly Agree	14 (5.4%)
Do not Know	16 (6.1%)
Refuse to Answer	11 (4.2%)
Not Applicable	3 (1.1%)
Missing	1 (0.4%)

	Overall (N=261)
Trust in Provider Total (0-44)
Mean (SD)	31.4 (8.59)
Median [Min, Max]	32.0 [0, 44.0]
Missing	8 (3.1%)

Coefficient Alpha

• total:

  raw_alpha	std.alpha	G6(smc)	average_r	S/N	ase	mean	sd	median_r
  0.8861	0.8935	0.9078	0.4326	8.387	0.01065	2.851	0.7808	0.3997

• alpha.drop:

  	raw_alpha	std.alpha	G6(smc)	average_r	S/N	alpha se	var.r	med.r
  bl_trust1	0.8864	0.8938	0.9064	0.4571	8.42	0.0107	0.02548	0.4475
  bl_trust2	0.8693	0.8777	0.8919	0.4178	7.175	0.0123	0.02433	0.3907
  bl_trust3	0.8736	0.8817	0.8953	0.4269	7.45	0.01189	0.02366	0.3956
  bl_trust4	0.872	0.8799	0.894	0.4229	7.327	0.01203	0.02338	0.3907
  bl_trust5	0.8787	0.8875	0.8997	0.4409	7.887	0.01142	0.02858	0.4058
  bl_trust6	0.868	0.8755	0.8907	0.4129	7.034	0.01239	0.02144	0.3907
  bl_trust7	0.8838	0.8919	0.9012	0.4521	8.251	0.01089	0.02571	0.4058
  bl_trust8	0.874	0.8818	0.8974	0.4273	7.462	0.01185	0.02442	0.3956
  bl_trust9	0.8715	0.8781	0.8921	0.4187	7.203	0.01206	0.02248	0.3907
  bl_trust10	0.8703	0.8775	0.8918	0.4172	7.16	0.01216	0.02185	0.3907
  bl_trust11	0.889	0.8968	0.9085	0.4648	8.686	0.01047	0.02263	0.4475

• item.stats:

  	n	raw.r	std.r	r.cor	r.drop	mean	sd
  bl_trust1	233	0.5811	0.5519	0.484	0.4589	2.833	1.27
  bl_trust2	241	0.7716	0.7832	0.7673	0.7125	2.971	1.112
  bl_trust3	243	0.713	0.7292	0.704	0.6459	3.066	1.081
  bl_trust4	246	0.7393	0.7531	0.7332	0.6748	2.74	1.049
  bl_trust5	239	0.6676	0.647	0.601	0.5723	2.59	1.286
  bl_trust6	242	0.7975	0.8115	0.8051	0.7419	2.926	1.052
  bl_trust7	238	0.6248	0.5814	0.5312	0.5024	2.676	1.306
  bl_trust8	232	0.6994	0.7269	0.6958	0.6404	2.862	1.064
  bl_trust9	238	0.7679	0.7776	0.7647	0.7028	3.076	0.9427
  bl_trust10	240	0.7647	0.7862	0.7754	0.7109	3.008	1.002
  bl_trust11	230	0.5374	0.5063	0.4312	0.4135	2.913	1.24

• response.freq:

  	0	1	2	3	4	miss
  bl_trust1	0.08155	0.07296	0.1931	0.2361	0.4163	0.1073
  bl_trust2	0.04564	0.05394	0.195	0.2946	0.4108	0.07663
  bl_trust3	0.03704	0.04938	0.1811	0.2757	0.4568	0.06897
  bl_trust4	0.04065	0.06504	0.2724	0.3577	0.2642	0.05747
  bl_trust5	0.05858	0.1925	0.1841	0.2301	0.3347	0.08429
  bl_trust6	0.03719	0.05372	0.2066	0.3512	0.3512	0.0728
  bl_trust7	0.08824	0.1303	0.1429	0.2941	0.3445	0.08812
  bl_trust8	0.04741	0.04741	0.2155	0.375	0.3147	0.1111
  bl_trust9	0.02941	0.02521	0.1555	0.4202	0.3697	0.08812
  bl_trust10	0.0375	0.0375	0.1583	0.4125	0.3542	0.08046
  bl_trust11	0.06087	0.1	0.1478	0.2478	0.4435	0.1188

ART Outcome Expectancies

Erlen, J. A., Cha, E. S., Kim, K. H., Caruthers, D., & Sereika, S. M. (2010). The HIV Medication Taking Self‐efficacy Scale: Psychometric evaluation. Journal of advanced nursing, 66(11), 2560-2572.

	Overall (N=261)
How confident are you that HIV medication will improve your health?
Mean (SD)	9.20 (1.76)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	22 (8.4%)
How confident are you that HIV medication will improve your quality of life?
Mean (SD)	9.09 (1.84)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	26 (10.0%)
How confident are you that HIV medication will allow you to live a long life?
Mean (SD)	9.13 (1.88)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	26 (10.0%)
How confident are you that HIV medication will enable you to lead a life that is normal or close to normal?
Mean (SD)	9.09 (1.91)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	23 (8.8%)
How confident are you that HIV medication will decrease your chances of developing HIV-related symptoms?
Mean (SD)	9.05 (1.97)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	27 (10.3%)
How confident are you that HIV medication will decrease your HIV viral load?
Mean (SD)	9.44 (1.57)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	29 (11.1%)
How confident are you that HIV medication will prevent you from needing to be hospitalized?
Mean (SD)	9.16 (1.92)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	32 (12.3%)

	Overall (N=261)
Overall ART Outcome Expectancy (1-10)
Mean (SD)	9.16 (1.61)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	19 (7.3%)

Coefficient Alpha

• total:

  raw_alpha	std.alpha	G6(smc)	average_r	S/N	ase	mean	sd	median_r
  0.9415	0.9423	0.9421	0.7001	16.34	0.005508	9.156	1.611	0.6803

• alpha.drop:

  	raw_alpha	std.alpha	G6(smc)	average_r	S/N	alpha se	var.r	med.r
  bl_artoutcome1a	0.9328	0.9338	0.9307	0.7017	14.12	0.006418	0.004288	0.6803
  bl_q2bl_artoutcome1b	0.9294	0.9306	0.9272	0.6908	13.4	0.00673	0.003873	0.6797
  bl_artoutcome1c	0.9273	0.9288	0.9222	0.6851	13.05	0.006938	0.002732	0.6757
  bl_artoutcome1d	0.9303	0.9316	0.9293	0.694	13.61	0.006674	0.004665	0.6797
  bl_artoutcome1e	0.9314	0.9323	0.9261	0.6964	13.77	0.006538	0.003445	0.6797
  bl_artoutcome1f	0.935	0.9355	0.9322	0.7073	14.5	0.006289	0.005233	0.7136
  bl_artoutcome1g	0.9402	0.9406	0.9378	0.7253	15.84	0.00565	0.0029	0.7151

• item.stats:

  	n	raw.r	std.r	r.cor	r.drop	mean	sd
  bl_artoutcome1a	239	0.8533	0.8579	0.8302	0.8029	9.197	1.763
  bl_q2bl_artoutcome1b	235	0.9042	0.8851	0.8673	0.8395	9.089	1.843
  bl_artoutcome1c	235	0.911	0.8993	0.8921	0.8616	9.132	1.88
  bl_artoutcome1d	238	0.8704	0.877	0.8547	0.8295	9.088	1.906
  bl_artoutcome1e	234	0.8801	0.871	0.8546	0.8192	9.051	1.967
  bl_artoutcome1f	232	0.8541	0.844	0.8092	0.7853	9.435	1.57
  bl_artoutcome1g	229	0.8108	0.7993	0.7482	0.7229	9.162	1.923

ART Self-Efficacy

Erlen, J. A., Cha, E. S., Kim, K. H., Caruthers, D., & Sereika, S. M. (2010). The HIV Medication Taking Self‐efficacy Scale: Psychometric evaluation. Journal of advanced nursing, 66(11), 2560-2572.

	Overall (N=261)
How confident are you that you can take your HIV medication the same time each day?
Mean (SD)	8.13 (2.32)
Median [Min, Max]	9.00 [1.00, 10.0]
Missing	4 (1.5%)
How confident are you that you can take the correct dose of your HIV medication each day?
Mean (SD)	9.30 (1.52)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	3 (1.1%)
How confident are you that you can follow the plan for taking your HIV medication at school?
Mean (SD)	8.92 (2.05)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	24 (9.2%)
How confident are you that you can follow the plan for taking your HIV medication at work?
Mean (SD)	8.94 (2.03)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	13 (5.0%)
How confident are you that you can follow the plan for taking your HIV medication on a weekday?
Mean (SD)	9.07 (1.82)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	7 (2.7%)
How confident are you that you can follow the plan for taking your HIV medication on a weekend?
Mean (SD)	8.95 (1.87)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	6 (2.3%)
How confident are you that you can follow the plan for taking your HIV medication when you are with friends?
Mean (SD)	8.31 (2.74)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	7 (2.7%)
How confident are you that you can follow the plan for taking your HIV medication at a social outing such as a party?
Mean (SD)	7.82 (3.07)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	6 (2.3%)
How confident are you that you can follow the plan for taking your HIV medication when you are not home?
Mean (SD)	8.20 (2.72)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	5 (1.9%)
How confident are you that you can follow the plan for taking your HIV medication when you feel well?
Mean (SD)	9.23 (1.70)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	5 (1.9%)
How confident are you that you can follow the plan for taking your HIV medication when you feel sick?
Mean (SD)	8.55 (2.42)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	8 (3.1%)
How confident are you that you can follow the plan for taking your HIV medication when you have side effects from your medications?
Mean (SD)	7.96 (2.64)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	17 (6.5%)
How confident are you that you can follow the plan for taking your HIV medication when you have been drinking alcohol or using substances?
Mean (SD)	7.57 (3.12)
Median [Min, Max]	9.50 [1.00, 10.0]
Missing	19 (7.3%)
How confident are you that you can follow the plan for taking your HIV medication when you feel unhappy or depressed?
Mean (SD)	8.43 (2.53)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	11 (4.2%)
How confident are you that you can follow the plan for taking your HIV medication when you feel happy?
Mean (SD)	9.35 (1.64)
Median [Min, Max]	10.0 [1.00, 10.0]
Missing	9 (3.4%)
Overall Self-Efficacy for ART (1-10)
Mean (SD)	8.57 (1.80)
Median [Min, Max]	9.27 [1.00, 10.0]
Missing	2 (0.8%)

Coefficient Alpha

• total:

  raw_alpha	std.alpha	G6(smc)	average_r	S/N	ase	mean	sd	median_r
  0.9492	0.9558	0.9658	0.5902	21.6	0.004434	8.571	1.796	0.5889

• alpha.drop:

  	raw_alpha	std.alpha	G6(smc)	average_r	S/N	alpha se	var.r	med.r
  bl_artadh1	0.9477	0.955	0.9655	0.6023	21.2	0.00456	0.01051	0.6023
  bl_artadh2	0.9472	0.9534	0.9637	0.5937	20.45	0.004655	0.01063	0.5889
  bl_artadh3	0.944	0.951	0.9613	0.5811	19.42	0.00487	0.0101	0.568
  bl_artadh4	0.9434	0.9505	0.961	0.5782	19.19	0.00493	0.009911	0.5668
  bl_artadh5	0.9456	0.9522	0.9625	0.5872	19.91	0.004745	0.01074	0.5831
  bl_artadh6	0.9441	0.9506	0.9613	0.579	19.26	0.004862	0.01002	0.5751
  bl_artadh7	0.9457	0.9535	0.961	0.594	20.48	0.004747	0.01035	0.5943
  bl_artadh8	0.9461	0.9533	0.96	0.593	20.39	0.004738	0.01036	0.5941
  bl_artadh9	0.9427	0.951	0.9615	0.5807	19.39	0.005061	0.01075	0.5751
  bl_artadh10	0.9463	0.9528	0.962	0.5903	20.17	0.004706	0.01084	0.5831
  bl_artadh11	0.9448	0.9526	0.963	0.5893	20.09	0.004821	0.0116	0.592
  bl_artadh12	0.9471	0.9545	0.9645	0.5996	20.96	0.004614	0.01099	0.5963
  bl_artadh13	0.9502	0.9559	0.9654	0.6073	21.65	0.004331	0.009384	0.6023
  bl_artadh14	0.9441	0.9518	0.963	0.5853	19.76	0.004891	0.01164	0.568
  bl_artadh15	0.9466	0.953	0.9622	0.5918	20.3	0.004679	0.01063	0.5889

• item.stats:

  	n	raw.r	std.r	r.cor	r.drop	mean	sd
  bl_artadh1	257	0.7029	0.6926	0.6589	0.6376	8.128	2.316
  bl_artadh2	258	0.7354	0.759	0.7397	0.7017	9.298	1.523
  bl_artadh3	237	0.8375	0.8558	0.8519	0.8167	8.924	2.047
  bl_artadh4	248	0.8731	0.8785	0.877	0.8482	8.935	2.029
  bl_artadh5	254	0.7828	0.8089	0.7976	0.7583	9.067	1.824
  bl_artadh6	255	0.8655	0.872	0.8684	0.8316	8.953	1.869
  bl_artadh7	254	0.7783	0.7564	0.7505	0.7349	8.315	2.735
  bl_artadh8	255	0.791	0.7644	0.7613	0.7441	7.824	3.069
  bl_artadh9	256	0.8663	0.8589	0.854	0.8444	8.195	2.717
  bl_artadh10	256	0.7691	0.7846	0.773	0.7326	9.234	1.703
  bl_artadh11	253	0.8043	0.7926	0.7756	0.7618	8.549	2.417
  bl_artadh12	244	0.7293	0.7133	0.686	0.6764	7.963	2.644
  bl_artadh13	242	0.67	0.6533	0.6204	0.6122	7.57	3.124
  bl_artadh14	250	0.824	0.8236	0.8083	0.7913	8.432	2.531
  bl_artadh15	252	0.7555	0.7735	0.7613	0.7176	9.345	1.642

ACES

Finkelhor, D., Shattuck, A., Turner, H., & Hamby, S. (2015). A revised inventory of adverse childhood experiences. Child abuse & neglect, 48, 13-21.

	Overall (N=261)
Did a parent or other adult in the household often or very often swear at you, insult you, put you down, or humiliate you?
No	90 (34.5%)
Yes	168 (64.4%)
Refuse to Answer	3 (1.1%)
Did a parent or other adult in the household often or very often act in a way that made you afraid that you might be physically hurt?
No	110 (42.1%)
Yes	147 (56.3%)
Refuse to Answer	4 (1.5%)
Did a parent or other adult in the household often or very often push, grab, slap, or throw something at you?
No	125 (47.9%)
Yes	129 (49.4%)
Refuse to Answer	7 (2.7%)
Did a parent or other adult in the household often or very often ever hit you so hard that you had marks or were injured?
No	131 (50.2%)
Yes	126 (48.3%)
Refuse to Answer	4 (1.5%)
Did an adult or person at least 5 years older than you ever touch or fondle you or have you touch their body in a sexual way?
No	129 (49.4%)
Yes	125 (47.9%)
Refuse to Answer	7 (2.7%)
Did an adult or person at least 5 years or older than you ever attempt, or actually have oral, anal, or vaginal intercourse with you?
No	131 (50.2%)
Yes	124 (47.5%)
Refuse to Answer	6 (2.3%)
Did you often or very often feel that no one in your family loved you or thought you were important or special?
No	106 (40.6%)
Yes	150 (57.5%)
Refuse to Answer	5 (1.9%)
Did you often or very often feel that your family didn't look out for each other, feel close to each other, or support each other?
No	98 (37.5%)
Yes	157 (60.2%)
Refuse to Answer	6 (2.3%)
Did you often or very often feel that you didn't have enough to eat, had to wear dirty clothes, and had no one to protect you?
No	172 (65.9%)
Yes	86 (33.0%)
Refuse to Answer	3 (1.1%)
Did you often or very often feel that your parents were too drunk or high to take care of you or take you to the doctor if you needed it?
No	210 (80.5%)
Yes	48 (18.4%)
Refuse to Answer	3 (1.1%)
Was a biological parent ever lost to you through divorce, abandonment, or other reason?
No	122 (46.7%)
Yes	138 (52.9%)
Refuse to Answer	1 (0.4%)
Was your mother or stepmother often or very often pushed, grabbed, slapped or had something thrown at her?
No	182 (69.7%)
Yes	75 (28.7%)
Refuse to Answer	3 (1.1%)
Missing	1 (0.4%)
Was your mother or stepmother sometimes, often or very often kicked, bitten, hit with a fist, or hit with something hard?
No	190 (72.8%)
Yes	67 (25.7%)
Refuse to Answer	3 (1.1%)
Missing	1 (0.4%)
Was your mother or stepmother ever repeatedly hit over at least a few minutes or threatened with a gun or a knife?
No	210 (80.5%)
Yes	47 (18.0%)
Refuse to Answer	3 (1.1%)
Missing	1 (0.4%)
Did you live with anyone who was a problem drinker or alcoholic, or who used street drugs?
No	137 (52.5%)
Yes	122 (46.7%)
Refuse to Answer	1 (0.4%)
Missing	1 (0.4%)
Was a household member depressed or mentally ill, or did a household member attempt suicide?
No	167 (64.0%)
Yes	90 (34.5%)
Refuse to Answer	3 (1.1%)
Missing	1 (0.4%)
Did a household member go to prison?
No	175 (67.0%)
Yes	84 (32.2%)
Refuse to Answer	1 (0.4%)
Missing	1 (0.4%)
Did other kids, including brothers or sisters, often or very often hit you, threaten you, pick on you or insult you?
No	156 (59.8%)
Yes	102 (39.1%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
Did you often or very often feel lonely, rejected or that nobody liked you?
No	80 (30.7%)
Yes	177 (67.8%)
Refuse to Answer	3 (1.1%)
Missing	1 (0.4%)
Did you live for 2 or more years in a neighborhood that was dangerous, or where you saw people being assaulted?
No	87 (33.3%)
Yes	171 (65.5%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
Was there a period of 2 or more years when your family was very poor or on public assistance?
No	123 (47.1%)
Yes	135 (51.7%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
Number of Yes Responses to ACES Items (0-21)
Mean (SD)	9.47 (5.42)
Median [Min, Max]	10.0 [0, 21.0]
Missing	1 (0.4%)

Social Network Members

• n=16 enrolled participants without responses to social network items at baseline
• n=7 withdrawn participants excluded

Participant Summaries

	Overall (N=245)
Number of people listed
1	14 (5.7%)
2	28 (11.4%)
3	38 (15.5%)
4	29 (11.8%)
5	136 (55.5%)
Any Network Members Diagnosed with HIV
Yes	119 (48.6%)
No	126 (51.4%)
Any Network Members with Criminal Justice System Involvement
Yes	87 (35.5%)
No	158 (64.5%)
Any Network Members with Illicit/Unprescribed Drug Use
Yes	149 (60.8%)
No	96 (39.2%)
Any Network Members in School
Yes	121 (49.4%)
No	124 (50.6%)
Any Network Members Working a Job on the Books
Yes	203 (82.9%)
No	42 (17.1%)
Any Network Members Who Are Romantic or Sex Partner
Yes	76 (31.0%)
No	169 (69.0%)

Network Member Summaries

	Overall (N=980)
How old?
Mean (SD)	32.8 (12.8)
Median [Min, Max]	29.0 [2.00, 92.0]
Man, male (cis-gender)
Checked	400 (40.8%)
Unchecked	580 (59.2%)
Woman, female (cis-gender)
Checked	470 (48.0%)
Unchecked	510 (52.0%)
Non-cis-gender
Checked	102 (10.4%)
Unchecked	878 (89.6%)
Latino or Hispanic?
Yes	518 (52.9%)
No	456 (46.5%)
Refuse to answer	0 (0%)
Don't Know	6 (0.6%)
Black or African American
Checked	503 (51.3%)
Unchecked	477 (48.7%)
American Indian or Alaskan Native
Checked	22 (2.2%)
Unchecked	958 (97.8%)
Asian
Checked	8 (0.8%)
Unchecked	972 (99.2%)
White
Checked	181 (18.5%)
Unchecked	799 (81.5%)
Native Hawaiian or Other Pacific Islander
Checked	3 (0.3%)
Unchecked	977 (99.7%)
Relationship to you?
Friend	494 (50.4%)
Family member (i.e., chosen family, family by blood or by marriage)	377 (38.5%)
Romantic partner (i.e., spouse, current or ex-romantic partner)	64 (6.5%)
Other (i.e., co-worker, neighbor, housemate, minister, teacher, doctor, or counselor).	29 (3.0%)
Sexual partner (non-romantic sex partner)	16 (1.6%)
Sexual orientation?
Straight or heterosexual	477 (48.7%)
Gay	313 (31.9%)
Bisexual	99 (10.1%)
Don't Know	37 (3.8%)
Lesbian	31 (3.2%)
Other	21 (2.1%)
Refuse to Answer	2 (0.2%)
HIV status
Not diagnosed with HIV	689 (70.3%)
Diagnosed with HIV	188 (19.2%)
Don't Know	102 (10.4%)
Refuse to Answer	1 (0.1%)
Takes HIV medications most of the time?
Yes	169 (17.2%)
No	6 (0.6%)
Refuse to answer	0 (0%)
Don't Know	13 (1.3%)
Missing	792 (80.8%)
Currently attending school or a training program?
Yes	190 (19.4%)
No	762 (77.8%)
Refuse to answer	0 (0%)
Don't Know	28 (2.9%)
Currently working at a job that is on-the-books?
Yes	539 (55.0%)
No	405 (41.3%)
Refuse to answer	0 (0%)
Don't Know	36 (3.7%)
Years known (<1 = 0)?
Mean (SD)	11.7 (9.78)
Median [Min, Max]	8.00 [0, 28.0]
How often seen?
Daily	265 (27.0%)
Weekly	217 (22.1%)
Monthly	127 (13.0%)
Occasionally	326 (33.3%)
Refuse to answer	26 (2.7%)
Don't Know	19 (1.9%)

STI

Lifetime

	Overall (N=261)
Chlamydia
No	137 (52.5%)
Yes	115 (44.1%)
Do not Know	2 (0.8%)
Refuse to Answer	6 (2.3%)
Missing	1 (0.4%)
Genital warts, anal warts, human papillomavirus (HPV)
No	205 (78.5%)
Yes	43 (16.5%)
Do not Know	6 (2.3%)
Refuse to Answer	6 (2.3%)
Missing	1 (0.4%)
Gonorrhea
No	132 (50.6%)
Yes	120 (46.0%)
Do not Know	4 (1.5%)
Refuse to Answer	4 (1.5%)
Missing	1 (0.4%)
Hepatitis B virus (HBV)
No	232 (88.9%)
Yes	15 (5.7%)
Do not Know	7 (2.7%)
Refuse to Answer	6 (2.3%)
Missing	1 (0.4%)
Hepatitis C virus (HCV)
No	236 (90.4%)
Yes	11 (4.2%)
Do not Know	8 (3.1%)
Refuse to Answer	5 (1.9%)
Missing	1 (0.4%)
Herpes, HSV1 or HSV2
No	225 (86.2%)
Yes	28 (10.7%)
Do not Know	2 (0.8%)
Refuse to Answer	5 (1.9%)
Missing	1 (0.4%)
Syphilis
No	106 (40.6%)
Yes	143 (54.8%)
Do not Know	7 (2.7%)
Refuse to Answer	4 (1.5%)
Missing	1 (0.4%)
Urethritis
No	242 (92.7%)
Yes	8 (3.1%)
Do not Know	5 (1.9%)
Refuse to Answer	5 (1.9%)
Missing	1 (0.4%)
Other
No	240 (92.0%)
Yes	4 (1.5%)
Do not Know	7 (2.7%)
Refuse to Answer	9 (3.4%)
Missing	1 (0.4%)

Past Year

	Overall (N=261)
1. Chlamydia
No	197 (75.5%)
Yes	51 (19.5%)
Do not Know	3 (1.1%)
Refuse to Answer	1 (0.4%)
Missing	9 (3.4%)
2. Genital warts, anal warts, human papillomavirus (HPV)
No	228 (87.4%)
Yes	17 (6.5%)
Do not Know	3 (1.1%)
Refuse to Answer	0 (0%)
Missing	13 (5.0%)
3. Gonorrhea
No	188 (72.0%)
Yes	59 (22.6%)
Do not Know	4 (1.5%)
Refuse to Answer	1 (0.4%)
Missing	9 (3.4%)
4. Hepatitis B virus (HBV)
No	239 (91.6%)
Yes	6 (2.3%)
Do not Know	1 (0.4%)
Refuse to Answer	1 (0.4%)
Missing	14 (5.4%)
5. Hepatitis C virus (HCV)
No	239 (91.6%)
Yes	7 (2.7%)
Do not Know	0 (0%)
Refuse to Answer	1 (0.4%)
Missing	14 (5.4%)
6. Herpes, HSV1 or HSV2
No	242 (92.7%)
Yes	9 (3.4%)
Do not Know	1 (0.4%)
Refuse to Answer	1 (0.4%)
Missing	8 (3.1%)
7. Syphilis
No	162 (62.1%)
Yes	80 (30.7%)
Do not Know	6 (2.3%)
Refuse to Answer	1 (0.4%)
Missing	12 (4.6%)
8. Urethritis
No	246 (94.3%)
Yes	3 (1.1%)
Do not Know	1 (0.4%)
Refuse to Answer	0 (0%)
Missing	11 (4.2%)
[bl_sti1_oth]
No	240 (92.0%)
Yes	4 (1.5%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Missing	17 (6.5%)

WHO Assist

• WHO ASSIST Working Group (2002). The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): development, reliability and feasibility. Addiction, 97 (9): 1183-1194.

• Humeniuk RE, Ali RA, Babor TF, Farrell M, Formigoni ML, Jittiwutikarn J, Boerngen de Larcerda R, Ling W, Marsden J, Monteiro M, Nhiwhatiwa S, Pal H, Poznyak V & Simon S (2008). Validation of the Alcohol Smoking and Substance Involvement Screening Test (ASSIST). Addiction 103(6): 1039-1047.

• Humeniuk RE, Henry-Edwards S, Ali RL, Poznyak V and Monteiro M (2010). The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): manual for use in primary care. Geneva, World Health Organization.

Lifetime Use

	Overall (N=261)
Tobacco products (cigarettes, chewing tobacco, cigars, etc.)
No	116 (44.4%)
Yes	142 (54.4%)
Do not Know	1 (0.4%)
Refuse to Answer	1 (0.4%)
Missing	1 (0.4%)
Alcoholic beverages (beer, wine, spirits, etc.)
No	48 (18.4%)
Yes	208 (79.7%)
Do not Know	2 (0.8%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
Cannabis (marijuana, pot, grass, hash, etc.)
No	78 (29.9%)
Yes	177 (67.8%)
Do not Know	3 (1.1%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
Cocaine (coke, crack, etc.)
No	190 (72.8%)
Yes	65 (24.9%)
Do not Know	4 (1.5%)
Refuse to Answer	1 (0.4%)
Missing	1 (0.4%)
Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)
No	216 (82.8%)
Yes	41 (15.7%)
Do not Know	2 (0.8%)
Refuse to Answer	1 (0.4%)
Missing	1 (0.4%)
Methamphetamine (speed, crystal meth, ice, etc.)
No	200 (76.6%)
Yes	58 (22.2%)
Do not Know	1 (0.4%)
Refuse to Answer	1 (0.4%)
Missing	1 (0.4%)
Inhalants (poppers, nitrous, glue, gas, paint thinner, etc.)
No	157 (60.2%)
Yes	96 (36.8%)
Do not Know	4 (1.5%)
Refuse to Answer	3 (1.1%)
Missing	1 (0.4%)
Sedatives or sleeping pills (Valium, Ativan, Xanax, Klonopin, Librium, Rohypnol, GHB, etc.)
No	211 (80.8%)
Yes	46 (17.6%)
Do not Know	2 (0.8%)
Refuse to Answer	1 (0.4%)
Missing	1 (0.4%)
Hallucinogens (Ecstasy, LSD, acid, mushrooms, PCP, Special K, etc.)
No	183 (70.1%)
Yes	74 (28.4%)
Do not Know	2 (0.8%)
Refuse to Answer	1 (0.4%)
Missing	1 (0.4%)
Prescription Opioids (morphine, codeine, fentanyl, oxycodone [OxyContin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine [Suboxone], etc.)
No	226 (86.6%)
Yes	29 (11.1%)
Do not Know	4 (1.5%)
Refuse to Answer	1 (0.4%)
Missing	1 (0.4%)
Street opioids (heroin, opium, etc.)
No	255 (97.7%)
Yes	2 (0.8%)
Do not Know	2 (0.8%)
Refuse to Answer	1 (0.4%)
Missing	1 (0.4%)
Have you used any other drug or substance over your lifetime?
No	245 (93.9%)
Yes	8 (3.1%)
Do not Know	3 (1.1%)
Refuse to Answer	4 (1.5%)
Missing	1 (0.4%)

Frequency of Use in the Past Three Months

	Use_P3M
	Never: not used in the last 3 months	Once or Twice: 1 to 2 times in the past 3 months	Monthly: Average of 1 to 3 times per month over the last 3 months	Weekly: 1 to 4 times per week	Daily or almost daily: 5 to 7 days per week	Unknown
Substance
Alcohol	78 (29%)	80 (30%)	67 (25%)	30 (11%)	11 (4.1%)	1 (0.4%)
Cannabis	100 (37%)	39 (15%)	20 (7.5%)	26 (9.7%)	81 (30%)	1 (0.4%)
Cocaine	239 (90%)	16 (6.0%)	10 (3.7%)	1 (0.4%)	0 (0%)	1 (0.4%)
Hallucinogens	241 (90%)	16 (6.0%)	9 (3.4%)	0 (0%)	0 (0%)	1 (0.4%)
Inhalants	188 (70%)	33 (12%)	22 (8.2%)	20 (7.5%)	3 (1.1%)	1 (0.4%)
Methamphetamine	225 (84%)	17 (6.4%)	6 (2.2%)	9 (3.4%)	9 (3.4%)	1 (0.4%)
Other Drugs	263 (99%)	2 (0.7%)	0 (0%)	0 (0%)	1 (0.4%)	1 (0.4%)
Prescription Opioids	258 (97%)	6 (2.2%)	1 (0.4%)	1 (0.4%)	0 (0%)	1 (0.4%)
Prescription Stimulants	252 (94%)	6 (2.2%)	4 (1.5%)	1 (0.4%)	3 (1.1%)	1 (0.4%)
Sedatives	241 (90%)	12 (4.5%)	7 (2.6%)	3 (1.1%)	3 (1.1%)	1 (0.4%)
Street Opioids	266 (100%)	0 (0%)	0 (0%)	0 (0%)	0 (0%)	1 (0.4%)
Tobacco	147 (55%)	33 (12%)	8 (3.0%)	29 (11%)	49 (18%)	1 (0.4%)

Risk Categories

	Overall (N=267)
Tobacco products (cigarettes, chewing tobacco, cigars, etc.)
Lower Risk	152 (56.9%)
Moderate Risk	104 (39.0%)
High Risk	11 (4.1%)
Alcoholic beverages (beer, wine, spirits, etc.)
Lower Risk	168 (62.9%)
Moderate Risk	91 (34.1%)
High Risk	8 (3.0%)
Marijuana (cannabis, pot, grass, hash, etc.)
Lower Risk	108 (40.4%)
Moderate Risk	136 (50.9%)
High Risk	23 (8.6%)
Cocaine (coke, crack, etc.)
Lower Risk	245 (91.8%)
Moderate Risk	19 (7.1%)
High Risk	3 (1.1%)
Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)
Lower Risk	256 (95.9%)
Moderate Risk	10 (3.7%)
High Risk	1 (0.4%)
Methamphetamine (speed, crystal meth, ice, etc.)
Lower Risk	228 (85.4%)
Moderate Risk	24 (9.0%)
High Risk	15 (5.6%)
Inhalants (poppers, nitrous, glue, gas, paint thinner, etc.)
Lower Risk	202 (75.7%)
Moderate Risk	62 (23.2%)
High Risk	3 (1.1%)
Sedatives or Sleeping Pills (Valium, Ativan, Xanax, Klonopin, Librium, Rophynol, GHB, etc.)
Lower Risk	249 (93.3%)
Moderate Risk	16 (6.0%)
High Risk	2 (0.7%)
Hallucinogens (Ecstasy, LSD, acid, mushrooms, PCP, Special K, etc.)
Lower Risk	249 (93.3%)
Moderate Risk	18 (6.7%)
High Risk	0 (0%)
Prescription opioids (morphine, codeine, fentanyl, oxycodone [Oxycontin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine [Suboxone], etc.)
Lower Risk	263 (98.5%)
Moderate Risk	2 (0.7%)
High Risk	2 (0.7%)
Street opioids (heroin, opium, etc.)
Lower Risk	267 (100%)
Moderate Risk	0 (0%)
High Risk	0 (0%)
Other Drugs
Lower Risk	265 (99.3%)
Moderate Risk	2 (0.7%)
High Risk	0 (0%)

Risk Scores

	Overall (N=267)
Tobacco products (cigarettes, chewing tobacco, cigars, etc.)
Mean (SD)	7.32 (9.36)
Median [Min, Max]	0 [0, 31.0]
Alcoholic beverages (beer, wine, spirits, etc.)
Mean (SD)	8.43 (8.48)
Median [Min, Max]	7.00 [0, 35.0]
Marijuana (cannabis, pot, grass, hash, etc.)
Mean (SD)	10.2 (10.5)
Median [Min, Max]	8.00 [0, 39.0]
Cocaine (coke, crack, etc.)
Mean (SD)	1.23 (4.62)
Median [Min, Max]	0 [0, 31.0]
Prescription stimulants (Ritalin, Concerta, Dexedrine, Adderall, diet pills, etc.)
Mean (SD)	0.588 (3.07)
Median [Min, Max]	0 [0, 29.0]
Methamphetamine (speed, crystal meth, ice, etc.)
Mean (SD)	3.20 (8.43)
Median [Min, Max]	0 [0, 39.0]
Inhalants (poppers, nitrous, glue, gas, paint thinner, etc.)
Mean (SD)	3.36 (6.79)
Median [Min, Max]	0 [0, 37.0]
Sedatives or Sleeping Pills (Valium, Ativan, Xanax, Klonopin, Librium, Rophynol, GHB, etc.)
Mean (SD)	0.948 (3.88)
Median [Min, Max]	0 [0, 33.0]
Hallucinogens (Ecstasy, LSD, acid, mushrooms, PCP, Special K, etc.)
Mean (SD)	0.749 (2.82)
Median [Min, Max]	0 [0, 23.0]
Prescription opioids (morphine, codeine, fentanyl, oxycodone [Oxycontin, Percocet], hydrocodone [Vicodin], methadone, buprenorphine [Suboxone], etc.)
Mean (SD)	0.303 (2.54)
Median [Min, Max]	0 [0, 28.0]
Street opioids (heroin, opium, etc.)
Mean (SD)	0 (0)
Median [Min, Max]	0 [0, 0]
Other Drugs
Mean (SD)	0.101 (1.27)
Median [Min, Max]	0 [0, 20.0]

PrEP

	Overall (N=261)
Before today, have you ever heard of people regularly taking anti-HIV medicines BEFORE a sexual or drug use exposure, to reduce the risk of getting HIV?
No	47 (18.0%)
Yes	196 (75.1%)
Do not Know	15 (5.7%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
Before your HIV diagnosis, did you ever take PrEP (pre-exposure prophylaxis) BEFORE a sexual or drug use exposure, to reduce the risk of getting HIV?
No	212 (81.2%)
Yes	41 (15.7%)
Do not Know	4 (1.5%)
Refuse to Answer	3 (1.1%)
Missing	1 (0.4%)

Substance Use and Mental Health Treatment

Substance Use

Lifetime

	Overall (N=261)
detoxification or "detox" for alcohol and/or drugs?
No	225 (86.2%)
Yes	32 (12.3%)
Do not Know	1 (0.4%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
residential (inpatient) alcohol and/or drug treatment?
No	240 (92.0%)
Yes	18 (6.9%)
Do not Know	0 (0%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
outpatient alcohol and/or drug treatment, such as meeting with a counselor in a clinic?
No	237 (90.8%)
Yes	19 (7.3%)
Do not Know	2 (0.8%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
12 step or self-help meetings like AA or NA?
No	229 (87.7%)
Yes	27 (10.3%)
Do not Know	2 (0.8%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
a methadone maintenance treatment program?
No	252 (96.6%)
Yes	2 (0.8%)
Do not Know	4 (1.5%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
Buprenorphine ("bupe") or Suboxone as prescribed by a health-care provider?
No	252 (96.6%)
Yes	4 (1.5%)
Do not Know	2 (0.8%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
Narcan or Naltrexone as prescribed by a health-care provider?
No	249 (95.4%)
Yes	7 (2.7%)
Do not Know	2 (0.8%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
syringe exchange services?
No	249 (95.4%)
Yes	8 (3.1%)
Do not Know	1 (0.4%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
other harm reduction services for people who use alcohol or drugs?
No	253 (96.9%)
Yes	1 (0.4%)
Do not Know	3 (1.1%)
Refuse to Answer	3 (1.1%)
Missing	1 (0.4%)
Some other treatment for alcohol and/or drug issues or problems?
No	255 (97.7%)
Yes	2 (0.8%)
Do not Know	1 (0.4%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)

Past Six Months

	Overall (N=261)
detoxification or "detox" for alcohol and/or drugs?
No	241 (92.3%)
Yes	16 (6.1%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Missing	4 (1.5%)
residential (inpatient) alcohol and/or drug treatment?
No	253 (96.9%)
Yes	4 (1.5%)
Do not Know	0 (0%)
Refuse to Answer	1 (0.4%)
Missing	3 (1.1%)
outpatient alcohol and/or drug treatment, such as meeting with a counselor in a clinic?
No	248 (95.0%)
Yes	8 (3.1%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Missing	5 (1.9%)
12 step or self-help meetings like AA or NA?
No	245 (93.9%)
Yes	11 (4.2%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Missing	5 (1.9%)
a methadone maintenance treatment program?
No	252 (96.6%)
Yes	2 (0.8%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Missing	7 (2.7%)
Buprenorphine ("bupe") or Suboxone as prescribed by a health-care provider?
No	253 (96.9%)
Yes	3 (1.1%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Missing	5 (1.9%)
Narcan or Naltrexone as prescribed by a health-care provider?
No	253 (96.9%)
Yes	3 (1.1%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Missing	5 (1.9%)
syringe exchange services?
No	252 (96.6%)
Yes	5 (1.9%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Missing	4 (1.5%)
other harm reduction services for people who use alcohol or drugs?
No	253 (96.9%)
Yes	1 (0.4%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Missing	7 (2.7%)
Some other treatment for alcohol and/or drug issues or problems?
No	256 (98.1%)
Yes	1 (0.4%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Missing	4 (1.5%)

Mental Health

Lifetime

	Overall (N=261)
residential (inpatient) mental health treatment?
No	219 (83.9%)
Yes	37 (14.2%)
Do not Know	2 (0.8%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
outpatient mental health treatment, such as meeting with a counselor in a clinic?
No	183 (70.1%)
Yes	74 (28.4%)
Do not Know	1 (0.4%)
Refuse to Answer	2 (0.8%)
Missing	1 (0.4%)
support groups?
No	191 (73.2%)
Yes	65 (24.9%)
Do not Know	1 (0.4%)
Refuse to Answer	3 (1.1%)
Missing	1 (0.4%)
medication for mental health issues or problems?
No	196 (75.1%)
Yes	62 (23.8%)
Do not Know	1 (0.4%)
Refuse to Answer	1 (0.4%)
Missing	1 (0.4%)
some other treatment or service for mental health issues or problems?
No	238 (91.2%)
Yes	15 (5.7%)
Do not Know	4 (1.5%)
Refuse to Answer	3 (1.1%)
Missing	1 (0.4%)

Past Six Months

	Overall (N=261)
residential (inpatient) mental health treatment?
No	249 (95.4%)
Yes	6 (2.3%)
Do not Know	0 (0%)
Refuse to Answer	1 (0.4%)
Missing	5 (1.9%)
outpatient mental health treatment, such as meeting with a counselor in a clinic?
No	219 (83.9%)
Yes	38 (14.6%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Missing	4 (1.5%)
support groups?
No	223 (85.4%)
Yes	32 (12.3%)
Do not Know	1 (0.4%)
Refuse to Answer	0 (0%)
Missing	5 (1.9%)
medication for mental health issues or problems?
No	229 (87.7%)
Yes	29 (11.1%)
Do not Know	0 (0%)
Refuse to Answer	0 (0%)
Missing	3 (1.1%)
some other treatment or service for mental health issues or problems?
No	245 (93.9%)
Yes	7 (2.7%)
Do not Know	0 (0%)
Refuse to Answer	1 (0.4%)
Missing	8 (3.1%)

PHQ

Kroenke, K., Strine, T. W., Spitzer, R. L., Williams, J. B., Berry, J. T., & Mokdad, A. H. (2009). The PHQ-8 as a measure of current depression in the general population. Journal of affective disorders, 114(1-3), 163-173.

	Overall (N=261)
Little interest or pleasure in doing things.
Not at all	100 (38.3%)
Several days	85 (32.6%)
More than half the days	27 (10.3%)
Nearly every day	22 (8.4%)
Do not Know	20 (7.7%)
Refuse to Answer	6 (2.3%)
Missing	1 (0.4%)
Feeling down, depressed, or hopeless.
Not at all	90 (34.5%)
Several days	84 (32.2%)
More than half the days	31 (11.9%)
Nearly every day	30 (11.5%)
Do not Know	19 (7.3%)
Refuse to Answer	6 (2.3%)
Missing	1 (0.4%)
Trouble falling or staying asleep, or sleeping too much.
Not at all	82 (31.4%)
Several days	81 (31.0%)
More than half the days	34 (13.0%)
Nearly every day	49 (18.8%)
Do not Know	8 (3.1%)
Refuse to Answer	6 (2.3%)
Missing	1 (0.4%)
Feeling tired or having little energy.
Not at all	66 (25.3%)
Several days	105 (40.2%)
More than half the days	36 (13.8%)
Nearly every day	36 (13.8%)
Do not Know	10 (3.8%)
Refuse to Answer	7 (2.7%)
Missing	1 (0.4%)
Poor appetite or overeating.
Not at all	104 (39.8%)
Several days	77 (29.5%)
More than half the days	32 (12.3%)
Nearly every day	32 (12.3%)
Do not Know	11 (4.2%)
Refuse to Answer	4 (1.5%)
Missing	1 (0.4%)
Feeling bad about yourself - or that you are a failure or have let yourself or your family down.
Not at all	107 (41.0%)
Several days	72 (27.6%)
More than half the days	25 (9.6%)
Nearly every day	39 (14.9%)
Do not Know	11 (4.2%)
Refuse to Answer	6 (2.3%)
Missing	1 (0.4%)
Trouble concentrating on things, such as reading the newspaper or watching television.
Not at all	131 (50.2%)
Several days	52 (19.9%)
More than half the days	28 (10.7%)
Nearly every day	33 (12.6%)
Do not Know	10 (3.8%)
Refuse to Answer	6 (2.3%)
Missing	1 (0.4%)
Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than half the days than usual.
Not at all	159 (60.9%)
Several days	36 (13.8%)
More than half the days	22 (8.4%)
Nearly every day	22 (8.4%)
Do not Know	13 (5.0%)
Refuse to Answer	8 (3.1%)
Missing	1 (0.4%)

	Overall (N=261)
PHQ8 Total Score
Mean (SD)	7.65 (6.27)
Median [Min, Max]	6.86 [0, 24.0]
Missing	16 (6.1%)

Coefficient Alpha

• total:

  raw_alpha	std.alpha	G6(smc)	average_r	S/N	ase	mean	sd	median_r
  0.8997	0.9005	0.9002	0.5309	9.054	0.009426	1.964	0.7935	0.5367

• alpha.drop:

  	raw_alpha	std.alpha	G6(smc)	average_r	S/N	alpha se	var.r	med.r
  bl_phq1	0.8854	0.8862	0.8822	0.5265	7.784	0.0109	0.00564	0.5364
  bl_phq2	0.8787	0.8796	0.874	0.5107	7.307	0.01151	0.005425	0.5188
  bl_phq3	0.8895	0.8901	0.887	0.5363	8.097	0.01049	0.006131	0.5364
  bl_phq4	0.8827	0.8835	0.8811	0.5199	7.58	0.01113	0.006915	0.5364
  bl_phq5	0.8886	0.8897	0.8879	0.5353	8.062	0.01058	0.008014	0.5468
  bl_phq6	0.8851	0.886	0.8819	0.5262	7.775	0.01091	0.00716	0.5364
  bl_phq7	0.8913	0.8921	0.888	0.5414	8.265	0.0103	0.007827	0.5548
  bl_phq8	0.8941	0.8956	0.8885	0.5508	8.582	0.01007	0.004849	0.5468

• item.stats:

  	n	raw.r	std.r	r.cor	r.drop	mean	sd
  bl_phq1	234	0.7713	0.7828	0.7501	0.7066	1.876	0.9525
  bl_phq2	235	0.8357	0.8367	0.8223	0.7753	2.004	1.015
  bl_phq3	246	0.754	0.7492	0.7027	0.6613	2.203	1.11
  bl_phq4	243	0.7937	0.8054	0.7751	0.7339	2.173	0.9932
  bl_phq5	245	0.7622	0.7529	0.7024	0.6671	1.967	1.04
  bl_phq6	243	0.781	0.7838	0.7508	0.7056	1.984	1.091
  bl_phq7	244	0.7363	0.7318	0.6786	0.6406	1.848	1.084
  bl_phq8	239	0.6974	0.6999	0.6458	0.6034	1.611	0.989

• response.freq:

  	1	2	3	4	miss
  bl_phq1	0.4274	0.3632	0.1154	0.09402	0.1034
  bl_phq2	0.383	0.3574	0.1319	0.1277	0.09962
  bl_phq3	0.3333	0.3293	0.1382	0.1992	0.05747
  bl_phq4	0.2716	0.4321	0.1481	0.1481	0.06897
  bl_phq5	0.4245	0.3143	0.1306	0.1306	0.0613
  bl_phq6	0.4403	0.2963	0.1029	0.1605	0.06897
  bl_phq7	0.5369	0.2131	0.1148	0.1352	0.06513
  bl_phq8	0.6653	0.1506	0.09205	0.09205	0.08429

PTSD

Cameron, R. P., & Gusman, D. (2003). The primary care PTSD screen (PC-PTSD): development and operating characteristics. Primary care psychiatry, 9(1), 9-14.

	Overall (N=261)
Have had nightmares about it or thought about it when you did not want to?
No	141 (54.0%)
Yes	108 (41.4%)
Do not Know	6 (2.3%)
Refuse to Answer	5 (1.9%)
Missing	1 (0.4%)
Tried not to think about it or went out of your way to avoid situations that reminded you of it?
No	124 (47.5%)
Yes	122 (46.7%)
Do not Know	9 (3.4%)
Refuse to Answer	5 (1.9%)
Missing	1 (0.4%)
Were constantly on guard, watchful, or easily startled?
No	141 (54.0%)
Yes	95 (36.4%)
Do not Know	17 (6.5%)
Refuse to Answer	7 (2.7%)
Missing	1 (0.4%)
Felt numb or detached from others, activities, or your surroundings?
No	122 (46.7%)
Yes	115 (44.1%)
Do not Know	17 (6.5%)
Refuse to Answer	6 (2.3%)
Missing	1 (0.4%)
PTSD SCORE
Mean (SD)	1.69 (1.56)
Median [Min, Max]	1.00 [0, 4.00]

Resilience

	Overall (N=268)
I am able to adapt when changes occur.
Mean (SD)	3.17 (1.03)
Median [Min, Max]	4.00 [0, 4.00]
Missing	22 (8.2%)
I can deal with whatever comes my way.
Mean (SD)	3.02 (1.08)
Median [Min, Max]	3.00 [0, 4.00]
Missing	11 (4.1%)
I try to see the humorous side of things when I am faced with problems.
Mean (SD)	3.06 (1.12)
Median [Min, Max]	3.00 [0, 4.00]
Missing	18 (6.7%)
Having to cope with stress can make me stronger.
Mean (SD)	2.71 (1.25)
Median [Min, Max]	3.00 [0, 4.00]
Missing	27 (10.1%)
I tend to bounce back after illness, injury, or other hardships.
Mean (SD)	3.17 (1.10)
Median [Min, Max]	4.00 [0, 4.00]
Missing	22 (8.2%)
I believe I can achieve my goals, even if there are obstacles.
Mean (SD)	3.31 (0.996)
Median [Min, Max]	4.00 [0, 4.00]
Missing	10 (3.7%)
Under pressure, I stay focused and think clearly.
Mean (SD)	2.77 (1.20)
Median [Min, Max]	3.00 [0, 4.00]
Missing	20 (7.5%)
I am not easily discouraged by failure.
Mean (SD)	2.59 (1.28)
Median [Min, Max]	3.00 [0, 4.00]
Missing	16 (6.0%)
I think of myself as a strong person when dealing with life's challenges and difficulties.
Mean (SD)	3.14 (1.11)
Median [Min, Max]	4.00 [0, 4.00]
Missing	14 (5.2%)
I am able to handle unpleasant or painful feelings like sadness, fear, and anger.
Mean (SD)	2.85 (1.17)
Median [Min, Max]	3.00 [0, 4.00]
Missing	21 (7.8%)
Resilience Score (0-40)
Mean (SD)	29.5 (8.45)
Median [Min, Max]	31.0 [0, 40.0]
Missing	6 (2.2%)

Coefficient Alpha

• total:

  raw_alpha	std.alpha	G6(smc)	average_r	S/N	ase	mean	sd	median_r
  0.8983	0.9005	0.9008	0.4751	9.051	0.009291	2.95	0.8449	0.4774

• alpha.drop:

  	raw_alpha	std.alpha	G6(smc)	average_r	S/N	alpha se	var.r	med.r
  bl_resilience1	0.8887	0.8909	0.8878	0.4756	8.163	0.01022	0.004692	0.4775
  bl_resilience2	0.8864	0.8886	0.8866	0.4698	7.973	0.01042	0.005078	0.4741
  bl_resilience3	0.8884	0.8909	0.8894	0.4758	8.169	0.01026	0.005645	0.4773
  bl_resilience4	0.8907	0.8929	0.8907	0.481	8.341	0.01005	0.005738	0.4848
  bl_resilience5	0.8916	0.8942	0.8927	0.4843	8.451	0.009975	0.005258	0.4809
  bl_resilience6	0.884	0.8855	0.8838	0.4622	7.733	0.01065	0.004632	0.4462
  bl_resilience7	0.8896	0.8925	0.8903	0.4798	8.301	0.01016	0.005595	0.4809
  bl_resilience8	0.8922	0.8942	0.8923	0.4844	8.456	0.009913	0.004946	0.4881
  bl_resilience9	0.8822	0.8848	0.8823	0.4603	7.677	0.01084	0.004415	0.4462
  bl_resilience10	0.889	0.8918	0.8906	0.4779	8.238	0.01022	0.005574	0.4808

• item.stats:

  	n	raw.r	std.r	r.cor	r.drop	mean	sd
  bl_resilience1	246	0.7312	0.7238	0.6901	0.6418	3.175	1.029
  bl_resilience2	257	0.7646	0.7528	0.7233	0.6771	3.019	1.077
  bl_resilience3	250	0.7276	0.723	0.6834	0.6442	3.06	1.123
  bl_resilience4	241	0.7078	0.6972	0.6518	0.6157	2.714	1.254
  bl_resilience5	246	0.6761	0.6809	0.6304	0.5939	3.175	1.098
  bl_resilience6	258	0.7875	0.7905	0.7707	0.7259	3.306	0.9957
  bl_resilience7	248	0.7228	0.7031	0.6597	0.6272	2.766	1.198
  bl_resilience8	252	0.6975	0.6802	0.6314	0.5975	2.587	1.277
  bl_resilience9	254	0.7968	0.7995	0.7833	0.7395	3.138	1.114
  bl_resilience10	247	0.7207	0.7125	0.6698	0.6354	2.846	1.165

• response.freq:

  	0	1	2	3	4	miss
  bl_resilience1	0.02033	0.06098	0.1504	0.2602	0.5081	0.08209
  bl_resilience2	0.03113	0.06615	0.1829	0.2918	0.428	0.04104
  bl_resilience3	0.028	0.092	0.156	0.24	0.484	0.06716
  bl_resilience4	0.07884	0.08714	0.2324	0.2448	0.3568	0.1007
  bl_resilience5	0.03252	0.06098	0.1504	0.2114	0.5447	0.08209
  bl_resilience6	0.01163	0.06977	0.1085	0.2209	0.5891	0.03731
  bl_resilience7	0.04839	0.1048	0.254	0.2177	0.375	0.07463
  bl_resilience8	0.08333	0.1111	0.2698	0.2063	0.3294	0.0597
  bl_resilience9	0.02756	0.08268	0.1457	0.2126	0.5315	0.05224
  bl_resilience10	0.04453	0.09717	0.2065	0.2713	0.3806	0.07836

SU Screening

Acceptance of Screening

	Overall (N=261)
Did participant accept to provide urine sample for drug test?
No (Declined)	12 (4.6%)
Yes (Accepted)	240 (92.0%)
Missing	9 (3.4%)

Substances Detected

First Sample

	Overall (N=240)
Marijuana (THC)cut-off level: 50 ng/mL
No	110 (45.8%)
Yes	124 (51.7%)
Invalid Result	6 (2.5%)
Cocaine (COC)cut-off level: 300 ng/mL
No	228 (95.0%)
Yes	7 (2.9%)
Invalid Result	5 (2.1%)
Opiates/ Morphine (MOP or OPI300)cut-off level: 300 ng/mL
No	222 (92.5%)
Yes	12 (5.0%)
Invalid Result	6 (2.5%)
Amphetamines (AMP)cut-off level: 1000 ng/mL
No	207 (86.3%)
Yes	32 (13.3%)
Invalid Result	1 (0.4%)
Methamphetamines (MET)cut-off level: 1000 ng/mL
No	207 (86.3%)
Yes	32 (13.3%)
Invalid Result	1 (0.4%)
Phencyclidine (PCP)cut-off level: 25 ng/mL
No	238 (99.2%)
Yes	1 (0.4%)
Invalid Result	1 (0.4%)
Ecstasy (MDMA)cut-off level: 500 ng/mL
No	213 (88.8%)
Yes	26 (10.8%)
Invalid Result	1 (0.4%)
Barbiturates (BAR)cut-off level: 300 ng/mL
No	240 (100%)
Yes	0 (0%)
Invalid Result	0 (0%)
Benzodiazepines (BZO)cut-off level: 300 ng/mL
No	233 (97.1%)
Yes	1 (0.4%)
Invalid Result	5 (2.1%)
Missing	1 (0.4%)
Methadone (MTD)cut-off level: 300 ng/mL
No	238 (99.2%)
Yes	0 (0%)
Invalid Result	2 (0.8%)
Buprenorphine (BUP)cut-off level: 10 ng/mL
No	232 (96.7%)
Yes	1 (0.4%)
Invalid Result	7 (2.9%)
Oxycodone (OXY)cut-off level: 100 ng/mL
No	234 (97.5%)
Yes	0 (0%)
Invalid Result	6 (2.5%)

Second Sample

No second drug samples tested as of September 26, 2023

EMA

Timing of EMA Bursts 1-8

• The earliest first burst of EMA will begin on Saturday, February 05, 2022
• The earliest second burst of EMA will begin on Wednesday, April 06, 2022
• The earliest third burst of EMA will begin on Sunday, June 05, 2022
• The earliest fourth burst of EMA will begin on Thursday, August 04, 2022
• The earliest fifth burst of EMA will begin on Monday, October 03, 2022
• The earliest sixth burst of EMA will begin on Friday, December 02, 2022
• The earliest seventh burst of EMA will begin on Tuesday, January 31, 2023
• The earliest eighth burst of EMA will begin on Saturday, April 01, 2023

Responses To EMA Prompts

• A total of n=33972 EMA prompts have been sent as of the day before this report was generated and n=18411 of those prompts received responses (54.2% of all prompts)

Responses Received By EMA Event

	A1 (N=8497)	A2 (N=8500)	A3 (N=8486)	A4 (N=8489)
Responded
Yes	4549 (53.5%)	4678 (55.0%)	4595 (54.1%)	4589 (54.1%)
No	3948 (46.5%)	3822 (45.0%)	3891 (45.9%)	3900 (45.9%)

Responses Received By EMA Day Within Burst

	D1 (N=4886)	D2 (N=4878)	D3 (N=4867)	D4 (N=4855)	D5 (N=4842)	D6 (N=4828)	D7 (N=4816)
Responded
Yes	2578 (52.8%)	2662 (54.6%)	2628 (54.0%)	2617 (53.9%)	2603 (53.8%)	2720 (56.3%)	2603 (54.0%)
No	2308 (47.2%)	2216 (45.4%)	2239 (46.0%)	2238 (46.1%)	2239 (46.2%)	2108 (43.7%)	2213 (46.0%)

Responses Received By Burst

	B1 (N=6894)	B2 (N=5770)	B3 (N=5456)	B4 (N=3959)	B5 (N=3613)	B6 (N=3239)	B7 (N=2986)	B8 (N=2055)
Responded
Yes	4032 (58.5%)	3239 (56.1%)	2916 (53.4%)	2109 (53.3%)	2026 (56.1%)	1606 (49.6%)	1563 (52.3%)	920 (44.8%)
No	2862 (41.5%)	2531 (43.9%)	2540 (46.6%)	1850 (46.7%)	1587 (43.9%)	1633 (50.4%)	1423 (47.7%)	1135 (55.2%)

Responses To All EMA Prompts

	Overall (N=33972)
Responded
Yes	18411 (54.2%)
No	15561 (45.8%)

Item Summaries

Daily

	Overall (N=13522)
Where are you right now?
Bar or club	110 (0.8%)
Faith-based organization (for instance, church, mosque)	54 (0.4%)
Friend's home	894 (6.6%)
Health care or social service setting (for instance, doctor's office, community-based organization)	192 (1.4%)
Home	9578 (70.8%)
Other	688 (5.1%)
Romantic and/or sexual partner's home	164 (1.2%)
School	162 (1.2%)
Work	1680 (12.4%)
How HAPPY are you right now?
Mean (SD)	7.35 (2.88)
Median [Min, Max]	8.00 [0, 10.0]
How ANXIOUS or WORRIED are you right now?
Mean (SD)	2.77 (3.06)
Median [Min, Max]	2.00 [0, 10.0]
How STRESSED are you right now?
Mean (SD)	2.89 (3.17)
Median [Min, Max]	2.00 [0, 10.0]
Who are you with right now, whether in-person or virtual contact?
No one/Alone	8396 (62.1%)
Other	279 (2.1%)
With a friend or friends in-person	2273 (16.8%)
With a friend or friends virtually (e.g., playing video games, Google hangout)	346 (2.6%)
With a romantic or sexual partner in-person	940 (7.0%)
With a romantic or sexual partner virtually (e.g., playing video games, Google hangout)	87 (0.6%)
With classmates	241 (1.8%)
With family in-person	818 (6.0%)
With family virtually (e.g., playing video games, Google hangout)	142 (1.1%)
What are you doing right now?: Attending school or college
Checked	900 (6.7%)
Unchecked	12622 (93.3%)
What are you doing right now?: Smoking cigarettes or vaping
Checked	1042 (7.7%)
Unchecked	12480 (92.3%)
What are you doing right now?: Drinking alcohol
Checked	356 (2.6%)
Unchecked	13166 (97.4%)
What are you doing right now?: Smoking or using marijuana
Checked	1830 (13.5%)
Unchecked	11692 (86.5%)
What are you doing right now?: Using drugs other than marijuana
Checked	107 (0.8%)
Unchecked	13415 (99.2%)
What are you doing right now?: Working in the community
Checked	1302 (9.6%)
Unchecked	12220 (90.4%)
What are you doing right now?: Engaging in the street economy or informal economy
Checked	113 (0.8%)
Unchecked	13409 (99.2%)
What are you doing right now?: On the computer or smartphone, watching TV or a movie, looking at apps, playing video games
Checked	6215 (46.0%)
Unchecked	7307 (54.0%)
What are you doing right now?: Attending medical or social service appointments
Checked	168 (1.2%)
Unchecked	13354 (98.8%)
What are you doing right now?: Reading
Checked	1795 (13.3%)
Unchecked	11727 (86.7%)
What are you doing right now?: A physical activity
Checked	1091 (8.1%)
Unchecked	12431 (91.9%)
What are you doing right now?: Other
Checked	1209 (8.9%)
Unchecked	12313 (91.1%)

End of the Day

	Overall (N=4470)
Where are you right now?
Bar or club	122 (2.7%)
Faith-based organization (for instance, church, mosque, etc.)	9 (0.2%)
Friend's home	309 (6.9%)
Health care or social service setting (for instance, doctor's office, community-based organization, etc.)	12 (0.3%)
Home	3547 (79.4%)
Other	140 (3.1%)
Romantic and/or sexual partner's home	67 (1.5%)
School	24 (0.5%)
Work	240 (5.4%)
How HAPPY are you right now?
Mean (SD)	7.43 (2.90)
Median [Min, Max]	8.00 [0, 10.0]
How ANXIOUS or WORRIED are you right now?
Mean (SD)	2.66 (3.02)
Median [Min, Max]	2.00 [0, 10.0]
How STRESSED are you right now?
Mean (SD)	2.79 (3.14)
Median [Min, Max]	2.00 [0, 10.0]
How much have you experienced discrimination, or been hassled or been made to feel inferior?
Mean (SD)	1.57 (2.87)
Median [Min, Max]	0 [0, 10.0]
Did you take any HIV medication today?
No	450 (10.1%)
Yes	4020 (89.9%)
What did you do today?: Attended school or college
Checked	328 (7.3%)
Unchecked	4142 (92.7%)
What did you do today?: Smoked cigarettes or vaped
Checked	456 (10.2%)
Unchecked	4014 (89.8%)
What did you do today?: Drank alcohol
Checked	280 (6.3%)
Unchecked	4190 (93.7%)
What did you do today?: Smoked or used marijuana
Checked	955 (21.4%)
Unchecked	3515 (78.6%)
What did you do today?: Used drugs other than marijuana
Checked	69 (1.5%)
Unchecked	4401 (98.5%)
What did you do today?: Worked in the community
Checked	455 (10.2%)
Unchecked	4015 (89.8%)
What did you do today?: Engaged in the street economy or informal economy
Checked	36 (0.8%)
Unchecked	4434 (99.2%)
What did you do today?: Was on the computer or smartphone, watching TV or a movie, looking at apps, playing video games
Checked	2308 (51.6%)
Unchecked	2162 (48.4%)
What did you do today?: Attended medical or social service appointments
Checked	99 (2.2%)
Unchecked	4371 (97.8%)
What did you do today?: Reading
Checked	814 (18.2%)
Unchecked	3656 (81.8%)
What did you do today?: A physical activity
Checked	563 (12.6%)
Unchecked	3907 (87.4%)
What did you do today?: Other
Checked	327 (7.3%)
Unchecked	4143 (92.7%)

	Overall (N=4470)
How much of your HIV medication did you take today? (Version 1)
0 - None of the prescribed doses	452 (10.1%)
1	62 (1.4%)
2	5 (0.1%)
6	1 (0.0%)
10 - All of the prescribed doses	3660 (81.9%)
Missing	290 (6.5%)
How much of your HIV medication did you take today? (Version 2)
None of my doses	452 (10.1%)
Some of my doses	180 (4.0%)
Most of my doses	100 (2.2%)
All of my HIV medication doses	3660 (81.9%)
Missing	78 (1.7%)
Did you take any HIV medication today?
No	450 (10.1%)
Yes	4020 (89.9%)

What are the main reasons you did not take HIV medication today?

	Overall (N=452)
HIV medication is not prescribed for me at this time
Checked	119 (26.3%)
Unchecked	333 (73.7%)
Prescription needs to be filled
Checked	149 (33.0%)
Unchecked	303 (67.0%)
Sold HIV medications because needed cash
Checked	11 (2.4%)
Unchecked	441 (97.6%)
Did not want side effects
Checked	15 (3.3%)
Unchecked	437 (96.7%)
Taking a break from HIV medications
Checked	21 (4.6%)
Unchecked	431 (95.4%)
Do not trust HIV medications
Checked	10 (2.2%)
Unchecked	442 (97.8%)
Do not want anyone to find out I am living with HIV
Checked	3 (0.7%)
Unchecked	449 (99.3%)
My numbers have been good (viral load, T-cells)
Checked	11 (2.4%)
Unchecked	441 (97.6%)
Alcohol or drug use got in the way
Checked	14 (3.1%)
Unchecked	438 (96.9%)
Mental health got in the way
Checked	63 (13.9%)
Unchecked	389 (86.1%)
Other reasons
Checked	95 (21.0%)
Unchecked	357 (79.0%)

Follow-Up

Nine Months

Interview Completion

	Overall (N=126)
Nine-Month Interview Completed
Nine-Month Follow-Up Missed	19 (15.1%)
Yes	107 (84.9%)

• n=135 pending nine-month follow-up interviews
• n=19 missed nine-month follow-up interviews

Eighteen Months

Interview Completion

	Overall (N=25)
Eighteen-Month Interview Completed
Eighteen-Month Follow-Up Missed	3 (12.0%)
Yes	22 (88.0%)

• n=236 pending eighteen-month follow-up interviews
• n=3 missed eighteen-month follow-up interviews

Undetectable Viral Load Over Time

	Undetectable at 9 Month Follow-Up		Total
	No	Yes
Undetectable at BL
No	15 (14%)	11 (10%)	26 (24%)
Yes	6 (5.5%)	77 (71%)	83 (76%)
Total	21 (19%)	88 (81%)	109 (100%)

Prescreening Form (n=1564)

• Prescreener completed (n=284)
  
• Refused prescreener (n=41)
  
• Recruiter only (n=6)
  
• Needs additional contact info (n=165)
  
• Do not contact (n=177)